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Home My WebLink AboutROBIN HILL #3 BLK 4 LT 6Rabin 1-E��l glo 1 3 D 17-3q`� .07 '(Doo 1 Municipality of Anchorage Page 1 of 3 Building Safety Division OnSke Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 5W030320 PID Number: 017-394-07 Name: Wastewater System: Tank Only John and Yvonne 13crilr2tedt Address: 13020 Mountain Place Anchora6je, AK 99516 ABSORPTION FIELD Phone: Numberof Bedrooms: Existing Trench 345-1425 Four 4 LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPDIFt� Ft. Block: Lot Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 4 6 Robin Hills No. 3 Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel Length: Ft. Ft. Well: Existing Gravel width:N umber of lines: Distance between lines: F[. Ft. Classification (Private, A, 8, C): Total Depth: Cased to: Total absorption area: Pipe Material: Ft. Ft. Fe Driller. Date Drilled: Static Water Level: InstalM Date Installed: Barr Contracting 8/19/2003 Ft. Yield: Pump Set at Casing eight Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 10 Septic ❑ Holding ❑ S.T.E.P. 0 Other: To From Septic Tank Absorption Field Lift Station Holding Tank ubtic/Private Sewer Line 1MUMMfur— Anchorage Tank specify in WOW 1,250 well >109 >109 N/A N/A >25' Material, Steel Number of Wm—p—a&—w-rs--- Two (2) Surface Water >100' >100' NIA N/A LIFT STATION — NONE ON LOT Lot Lim >5' >19 NIA N/A Gal. >5' >10' N/A N/A "Pump on eve at; ump off' level at mtgnwater a ann a : Foundation in. in. in. None Noted Pump Make 8 Model Electdca Inspections perronned by: Curtain Drain Remarks: BENCH MARK " Inoulation Placed Overis Tank, Location and uescription: Front Deck. 5outheaot Corner. Assumed Elevation: 100.0 Ft. Engineer's Stamp yj III OF q� . s .i • •49th ••••• •� �•�� c Inspections performed by: MEA Dates: 1St 8/21/03 OW ... ................. ../ i r .... ..... % MICHAEL E. ANDERSON t �•� rid •`� :, Department of He I h and Human Services approval NO. CE -4381 �isTF•••. ��: 1 N 03 ESS\i::•� • ♦'��iPOFJUL Reviewed and approved by: Date: cxev 10/99) 1 M -W Drilling, Inc. • P.O. Box 110378 • Anchorage, AK 99511 • •907-345-4000 • 907-345-3287 Fax* Job No.: 06-164 Parcel No.: 017-394-07-000 Permit No. NIA Permit Dated: N/A Groundwater Well As -Built & Loe- Deepelrille ♦ Well Owner: Bergstedt, Jon R. Yvonne • Use of Well: *Legal Description: Robin Hills Subdivision, Block 4, Lot 6 4-3 Construction Domestic ♦I1oleDepth: 276' ♦ Casing Ske: 6" ♦Cased To: 275.5' *material. A53Steel 6 Drill Alelliod: Air Rotary ♦ Flail. _ - — — Perf. ♦ Well Completion- Open end X Screen Perforated _ Alethod: *Screen/ Perforation description: None ♦ Grout holes: (I) Sack(s)-No. 8 bentonite granules ♦ Notes: ♦ Disinfected Yes No Alethod: Chlorine tablets ♦ Well Development: Alethod: Air surge Notes: Cleaned up in minutes •Static water level (SWL) 200' (above) (below) top of casing (TOC). ♦ Wellyield test at 10 gallons perrrninute (GP,11)lgalkm.vper-hour{GPII) for I hours) Willi 100% of drawdown (DD) from static level (SIU). ♦Alethod: Air lift ♦Date ofstarted: 02 November 2006 ♦ Date of completion: 02 November 2006 ♦ Pump Install.• Well Loa Depth in feet from top of casin . Details of formations penetrated, size of material, color and miscellaneous details. _ 0 TO 2 Casing stickup 2 TO 242 Existing well 242 TO 270 Gravel: black -gray, medium, silty/clayey 270 TO 276 Water ravel: medium TO TO TO TO TO TO TO WAYNE-E. WESTBERG Pm81denk M -W -Drilling, -Inc. NGWA Cooed Master Grol�t>¢ luntracta Contractors License No. 1000 TO TO TO TO Municipality of Anchorage Page 2 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Permit Number: SW030320 PID No. 017-394-07 M => Pr ExisfRg Well Four edroorn Home 00 tn A B S1 8.1 126.7 00 0 C) E q S2 15.4 29.9 :2 CD Q Iq b (n Cl) CD M .'T UJ OZ D N89 58'24"W 250.00 vm'�t all% AS-BUILT PLAN ....... .... .......... ...... . ....... ... . ... ... .... .... .. SCALE I 4D* MI FLAEL E. ANDERSON No. CE4381 Ar PRCFESS% LOT 6, BLOCK 4, ROBIN HILLS SUBDIVISION NO. 3 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: SW030320 CU cu M U H 98.1 In U U 94. Page 3 of 3 PID No.: 017-39407 2" Insul. ' 1,250 Gallo U To Existing Absorption Trench ;eotic Tank Tank Only Replaced Under This Permit : 49,.th MICHAEL E. ANDERSON No. CE -4381 PROFILE AS -BUILT Scale: 1" = 10' e MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW030320 Legal Description: Robin Hills#3 940Ck # Z>DT $ Design Engineer: 0014 Anderson Engineering Owner Name: John & Yvonne Bergstedt Owner Address: 13020 Mountain Place Anchorage , A 99516 - Date Issued: Aug 20, 2003 Expiration Date: Aug 19, 2004 Parcel ID: 017-394-07 Site Address: 13020 Mountain Place Lot Size: 52919 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: S - Z2. -O? Date: 20 03 Municipality of Anchorage QP�E BLi Development Services Department Building Safety Division x '� On -Site Water and Wastewater Program s A F T> 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-394-07 Permit Number SWIG 36 3 W Property owner(s) .John and Yvonne 6en3otedt Day phone 345-1428 Mailing .. • 13020 Mailing address Code Legal description (Lot, Block & Sub'd.) Lot 6_ Block 4Robin Hills 5uhAlvioion Unit No. 3 Legal description (Section, Township & Range) Lot Size_�G� _Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Four (4) Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Date of Payment: i 3 Receipt Number: (Rev. 12100) Waiver Fees: Date of Payment: Receipt Number: ANDERSON ENGINEERING P.A. BOX 244773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) August 18, 2003 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 6, Block 4, Robin Hills Subdivision No. 3 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The septic tank on Lot 6, Block 4, Robin Hills Subdivision No. 3 is near failure and must be replaced. There is currently a 1,250 gallon septic tank on the lot that was placed 1982. We are proposing to replace the tank with a new 1,250 gallon tank to serve the four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new septic tank to serve the home. The attached Site Plan and backup documentation identify the location and configuration of the existing septic system and the location of the new tank. Also identified on the plans is the location of the existing well on the lot. The new tank will be placed in the same location as the existing tank and the existing tank will be properly disposed on the property. The drainage patterns will be maintained after construction. The ground surface on the lot slopes at varying grades. The new septic tank will be constructed near the location of the existing tank and as parallel with the slope of the land as possible in conformance with Municipal requirements. The new septic tank will be constructed a minimum of 100' from the existing well on the lot and those on the adjacent lots. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. Lot 6, Block 4, Robin Hills Subdivision No. 3 August 18, 2003 Page Two 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments 49th MICHAEL E. ANDERSON 0 No. CE -4381 •n...... ........ 'P��:i Illit a, 2YOF E SS .++ 9 s m 310.00 Q g /r•f lV yI N s CD3 N89 58'00"E 4 � 329.43 1y80 00'00'E 289.E $ 7 N� Af 2 M 7 VACANT N141g42"E z68. N ,1p498 � 6 m 79 582g"�yP53 86 74yt N891 250.00 m 4 9 5 O N N N W �i S Slkl&a%lk t01Utll Esmt��'� -S 250.00 250.00 : 49 wo... .... AREA MAP :Q%q MICNAEL'.AN0ER50N"''�AV No. CE -4381 2= SCALE 1" — 100'h+ "'...... •• ,,'OROFESS� fig, �3�E N66 2�` g9 :.:;.. U Remove Existing Septic Tank un Foundeuon leanout Existing Replace With New 1,250 Gallon ins a douse Foun ron Well Tank and 2 Post Tank Cleanouts. /1 5Four L.L 5% edroom Home 0 Q T- 00 �= 6 C) co W z — N89 58'24"W 250.00 49th•1 SITE PLAN •'owl . . .. ••••. •.... SCALE I� .^t �MICHAEL E. ANDERSON••: jr '1M1! ��`.�js '• No. CE4381'=WAV •••O JAI,% ESS ��r•. LOT 6. BLOCK 4o ROBIN HILLS SUBDIVISION NO. 3 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 6, BLOCK 4, ROBIN HILLS SUBDIVISION NO. 3 GENERAL: 1. The scope of this project includes the pumping, crushing and abandonment of the existing septic tank on the lot and the procurement and placement of a new 1,250 -gallon septic tank at the location shown on the site plan. Work also includes the placement of 2 post tank cleanouts. The existing septic tank must be disposed in accordance with Municipal and ADEC requirements. The new septic tank must be constructed a minimum of 100' from any surface water and 100' from the well on this and adjacent lots. A minimum of 4' of cover is required over the septic tank. In lieu of cover 2" of direct bury insulation and 2' of cover may be placed. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK INSTALLATION 1. A new 1,250 -gallon septic tank must be procured from a certified septic tank manufacturer if the existing tank is found to be defective. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. Lot 6, Block 4, Robin Hills Subdivision August 18, 2003 Page 2 of 3 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: -NOT REQUIRED 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trench to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. Lot 6, Block 4, Robin Hills Subdivision August 18, 2003 Page 3 of 3 MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 1t� ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME SW�7_ PHONE EW 13qvy.,>_k1:J'LIPGRADE MAILING ADDRESS 717 ' LEGAL DESCRIPTION LOCATIO C/fQ li� NO.�BEDROOMS O Y DISTANCE TO: e7 I �� Absor,ti4n area // Dwelling ( PE IT NO� a Q Manufacturer/ A Mate rQal� No. of rgmpartments W Liq. Mcit "n gallons IF HOMEMADE: Inside length Width Liquid depth �-' DISTANCE TO: e Well Dwelling PERMIT NO. OZQ« _ _ F Manufacturer Material Liquid capacity in gallons O w= DISTANCE TO: Well ,,pper� Foundation 9 Nearest l t int PER N �.. W LL U h? W No. of li s Lent of e lige el "' �. Total lent V 9 Trench t�l,^ k o inches Distance be a "nes ` I.- p Top of tile t f' ish a e Material beneath the /� inches Total effective tion area W a Length WidtI1 Depth PERMIT NO. I F uj Type of crib Crib diameter Crib depth Total effective absorption area LU ti DISTANCE TO: Well Building foundation Nearest lot line J SITClasDepth Driller Distance to lot line PERMNO. W 3; DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER ,� 4 01 PIPE MAT4RIALS Ce •11�^ 1 04 SOIL TEST BAIING \ INST LhhLE'' REMARKS LJ iD 1s$ Jill APPROVED I DATE Ls+EyGAL A t n i I_ /�0�/)a s 1. 3: b" M 107 9"s w! 110 M "Not too 13 Eo_ DEPHRTMENT tIHEHLTH HND ENVIRONMENTHL � OTECTION ^ '^ 825 'f STREET/ ANCHORAGE!, Hk 99501 ^^ «>cV ` 264�4720 �� V �� PERMIT NO ( 820582 ) "/ �4-1 m � HPPLICHNT JON BERGSTEDT SRH BOX 377F 99507 `� +96J 28 i LOCATION L! � LEGHL L6 B4 ROBIN HILLS #] LOT SI�/�� — ��UHRE FEET �� _-~�' �^ � � . TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH ~ ' MHXIMUM NUMBER OF BEDROOMS � ] SOIL RATING FT/BR)= ] �� ' THE REQUIRED SIZE OF THE SOIL HBSORPTION SYS EM IZ7U lot ��! ... 1��M 041 Sh -VJ-HR 7_50 ��Y M L... THE LENGTH IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET). THERE IS NO SEPT WICiTH FOR T�ENCHES THE GRAVEL. DEPTH IS THE MINIMUM DEPTH OF GRHYEL BETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVHTION (IN FEET). �EY] ��T*"::,�z �"5; EEE Fol V X C: �F�.;79 �4.<:: �I = -,: �C.-, �q ��Q L.. Cm V. .17 _SEZ PERMIT APPLICANT HHS THE RESPONSIBILITY TO INFQRM THIS DEPHRTMENT DURING THE INSTHLLHTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ��C: -1, " JE. Cm p"! "E'. soo�. Fe Eo- YL.3 1:�� BHCKFILLING OF HNY SYSTEM WITHOUT FINAL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTHNCE BETWEEN H WELL HND HNY ON-SITE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVATE WELL TO H PRIVHTE SEWER LINE IS 25 FEET HND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE FREQUIRED HND MUST BE RETURNED TO THE DEPHRTMENT WITHIN ]0 DHYS OF THE NELL COMPLET�ON OTHER REQUIREMENTS MHY HPPL\! SPECIFICHTIONS HND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTHLLHTION §0" EE §111 -1 1 X IRE"". -E V 1 lot ��M 1-1 EA KEE FRI 71 WE-, WE- lot �� 1 CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS HS SET FORTH E3Y THE MUNICIPHLITY OF HNCHORHGE. 2� I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES. ]� I UNDERSTHND THHT THE ON~SITE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THHN � BECROOMS, � 7 � ,�PfLICHNT» JON BERGSTEDT 1SSUED BY 0 Jon Bergstedt SRA Box 377F Anchorage, AK Permit # 810431 99507 January 4, 1982 „L„s-11;11--1 ;orl;,GL' A1LAS1(A 919f�)O 9071 2Ci4 4111 orcr,117. sup r.ivnid. 1V YOP Subject: Lot 6 Blk 4 Robin Hill Sub A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Enclosure: Copy of Permit sincerely, Les N. Buchholz R. Program :tanager Sewer and Water Program � ~ ��Il- 1`` L_ I "F F= DEPARTMENT / �HEHLTH AND ENYIR8NMENTHL � JTE[�TION 825 'L/ STREET.- ANCHORAGE.- AK. 99501 264~4720 ��EEL_1_ PERMIT NO ( 8104]1 } APPLICANT JON GER8STEDT SRH BOX ]77F /�q(�| 345-1428 LOCATION MT. PLACE LEGAL LOT 6 BLK 4 ROBIN HILL SUB LOT SIZE 423�560 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= ]]0 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: THE LENGTH DIMENSION IS T rIN T) OF THE TRENCH OR DRHINFIEL[l THE DEPTH OF H TRENCH OR IL�HE�DIS+6mCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL. BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F --"r=- 0 1_1 1 F-� F=- U,- ��il C- ��r-.l K ��' IF=' -- I ��CHD 0 �n I I win " �_=- PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. _r 9-1 9=1 < 22' > I "!-=-F=:4E:0:-F I ��FE F.!�� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON --SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR :150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM A PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND ' TO H COMMUNITY SEWER LINE IS 75 FtET.' WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. FlE=FRrl I 7F ��I F�!E_7_0-=. ��0lE:_r-lE-F=r74 -1 IL I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR 8N --SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. SIGNED:- -----~~--_- JON BERGSTEDT Y4. 0 . , i ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE • +.e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: LJr)�/U aell .7xd�lk DATE PERFORMED: .iC.q my aov LEGAL DESCRIPTION:_ /`o T ( j��(7�'Ai` j'S p,(JJ/(� he(p/� (!,/V4�0 .DEPTH SLOPE SITE PLAN 2 4- 5 5 ` €� 6- 7- G 8 9 .r . x 10- 11 0 11 12 U 13- 14- 15- 16 - 17 31415 1617 1819 20COMMENTS PERFORMED BY 72-008 (6/791 12 - 9 -Pt (SM WAS GROUND WATER S ENCOUNTERED? L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 0 Is 17 JY/ WAS GROUND WATER S ENCOUNTERED? L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop Is 17 JY/ PERCOLATION RATE L./ (minutes/inch) TEST RUN BETWEEN FT AND S FT CERTIFIED BY: TE:2 l