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HomeMy WebLinkAboutMEADOW BROOK BLK 2 LT 18 Municipality of Anchorage p.ge /" of 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: s,~-, ?,,o.~_ ~ ¢ PID Number: Name: Wastewater System: ~'~%~v' [] Upgrade Address: ~/~ ABSORP'riON FIELD Phone: I No, of Bedrooms: ,,, ~ ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other I LEGAL DESC R IPTI ON so, R~ting: Total Depth from original grade: GPD/Sq. Ft. Lot: Block: Subdivision: Deplh to pipe bollom from original grade: Gravel depth beneath pipe Township: Range: I Section: Fill added above original grade: Gravel length: /~~ ~~ / ~ Ft. Fl, WE~L: ~ New ~ Upgrade Gravel depth: Number of lines: Distancs ~tw~n Ft. Ft. Classification (Pre'ate, A,B,C): Total D~pth: Cased To: Total absorption area: Pipe material: ~/,; ~ Ft. Fl. SQ. Ft. Driller: Dale Drilled: Slatic Taler Level: Installer: Date Inetalled: Ft. Yield: '' GPM [ Pump Set at: FI. ICssing Height Ab°ve or°und:Ft. TANK SEPARATION DISTANCES ~Septic ~ Holding Q S.T.E.P, TO Septic Absorption Lift Holding Public/Private Manufacturer: Capacity In gallons: From Tank Field Station T~nk Sewer Lines ~,~ ~ ~ /o o o Material: Number of Compartments: Well ~/4 /~ ~ ~ ~1~ ~ / su,.~ , LIFT STATION ~ Water ~/*~ ~/~ Lot ~0 ¢ ¢ Size in gallons: ] Manulacturer: Line ~ I ~ "Pump on" level at: "Pump off" level at: ~ High water alarm at: Foundation ~- oI - Curtain ~/a ~/¢~ Pump Make & Modal Electrical Inspections performed by: Drain BENCH MARK Remarks: ~ ~/.~ ~,/~ - Location and Description: "~ ~ %. L I '[/ L ~ Assumed Elevation: SEP 2 4 1991 ::,'.... ;' Dept. ' ~ ' a"*"a .... ~ ......... "' ~:.~T, '" Inspections performed by: ~r Dates: 1st ~/7/~/ 2nd ' .... ' :: ' ;t ..... . . . . j..~[. ,H~man Sff[vices approval ':' ':' '""? ':' Department of Hea~and _, :. ,: '::"' Reviewed and approved by: ~~~ ¢~te:/~-7-~ ' "' ' 72-013 (1/§1) MOA 25 Permit No. ~ ~/,~-~-7~ 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.: PLACERI 10' EXISTING TANK REMOVED AND REPLACED WITH 1,000 GAL, SEPTIC TANK FR~H ANCH, TANK, SCALE 1" --30' ELEVATIBNS UTILITY EASEME EXISTING 56' LEACH \ o \ co \ CONCRETE WALKWAY TANK INLET TANK OUTLET = lO0.O0 = 93,2' = 92,9' (ASSUMED DATUM) RECEIVI SEP 2 4 19! _ ~viuruc4)al~y of Ancl- uept. H/ealth & Human NEIGHBOR HOME +30' WATER L I<EYBOX D )rage ;ervices 72-013 A (2J91) MOA 25 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 (UPGRADE) PERMIT PERMIT NUMBER:SWg10276 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:RONIMUS ARTHUR D OWNER ADDRESS:iSll3 SANCTUARY DR EAGLE RIVER, AK 99577 DATE ISSUED: 9/09/91 EXPIRATION DATE: 9/09/92 PARCEL ID:05019165 LEGAL DESCRIPTION: MEADOW BROOK BLK 2 LT 18 SEC12, T14N, R2W, SM LOT SIZE: 19376 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: 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: RECEIVED BY: _~?~-/~ ISSUED BY: ~ . _ _ DATE: DATE: Louis Butera, P.E. Rogislorod Civil Engineor September 5, 1991 DHHS Staff Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lot 18, Block 2, Meadow Brook Subdivision Dear DHHS Staff, At the request of our clients, Mr. and Mrs. Arthur Ronimus, we are applying for an emergency permit to replace a septic tank for the above referenced property. As the old tank baffle collapsed, they need an immediate replacement permit to allow use of the system. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. P.O. Box 773294 · Eagle River. Alaska 99577 · Telephone (907) 694-5195 . Fax (907) 694-3297 SPECIFICATIONS FOR SEPTIC TANK REPLACEMENT LEGAL: Meadow Brook, Lot 18, Block 2 Ae GENERAL 1. The drawings shall be a part of this specification. 2. All materials and workmanship shall meet the requirements Department of Health and Environmental Protection Permit. of Anchorage Be THE SEPTIC TANK 1. Septic tank construction shall be a + 1,000 gallon steel 2 compartment tank approved by the Municipality of Anchorage. 2. Septic tank is to be installed level on compacted base material. 3. All connections are to be made with caulder couplings. 4. The existing tank is to be pumped, removed and properly disposed of. Hole is to be backfilled with a base of pit run gravel to prevent settlement. 5. New tank to be provided with two cleanouts after tank as per current regulations. A foundation cleanout 1-4' from home is to be installed prior to tank. 6. 'Fie into existing leachfield. Pump and clean leach line and sump. I NE1 CBNFLICTING WELLS, SEPTIC, OR BUILDINGS lO' UTILITY EASEMENT PLACER C I R C L E / EXISTING TANK ___/~~_. / TEl BE REMOVED ~ ~/ 1000 GAL. // ~//~ X ~ SEPTIC TANK // ~ / FR~M ANCH, // ~ NEIGHBOR HDME +30' /~ ~ATER LINE ~ KEYBOX o - SEWER CL~NOUT :~:::~:::H-- EXISTING L~CHFIELD NU ~ELL3, ALL 3URRUUNDIN~ LDT3 ARE ~N PUBLIC ~ATER, EASEMENT SEPTIC SITE PLAN LEGAL: LOT 18, BLOCK 2, MEADOW BROOK SUB. .?."-' ~ ..... ."~ .,?? ~,, OWNER: RONIMUS ..... ' .... ...... ~ '".' CONTRACTOR: JOB ff 91-1251 DATE: 09/o5/9~I SCALE 1" = 30' EAGLE RIVER ENGINEERING SERVICES ,,.,,:c,. .... .,, :..~'.~ P.O. Box 773294 EAGLE RIVER, AIC 89577 "~v~v~'''''~'' .... OEtE Russell Oyster 694-2774 Soils E~ Foundations Performed for: Legal Depth 0 1 4 6 7 8 10 11 12 Description: {feet) GEOTECHNICAL E~ DEVELOPMENT Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG CO. Earl Ellis 688-2280 Land Development No / If yes, what depth Ground Water Encountered: Yes Proposed Installation: Seepage Pit Co~)ents: Drain Fie~d .... Performed Date: GREA,cR ANCHORAGE AREA BOR(.,GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 NAME INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MATERIAL NUMBER OF COMPARTMENTS SEPTIC TANK: DISTANCE I/., FROM WELL (~¢-,~-,4n-, . INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID C A PAC I Ty/_ ~-dC'-~'~A L L 0 N S. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA ____ DEPTH: (~.~...t.~-~' ~ .-~ / TOTAL LENGTH FOUNDATION _NEAREST LOT LINE ,D.d) 4' .OF LINES / DISTANCE BETWEEN LINES TRENCH WlDTH~_ IN. TOTAL EFFECTIVE ~/ Z~'~SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER -FOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE I ABOVE TILE ~ WELL: TYPE ~'"f) ~>"~1/¥~ ' BUILDING FOUNDATION __, _CONSTRUCTION DEPTH NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE_ , TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVE[) REMARKS DISTANCE FROM: DISTANCES: DIAGRAM OF- SYSTEM INSTALLED BY: ~'/4C ¢ J t?-~~:'2~ · SEWER LINE DEPTH: LOT SLOPE: REMARKS: Form LQ-032 O GREA' .R ANCHORAGE AREA BOR, gH ~.~,_,//~_ ITNO. DEPARTMENT OF ENVIRONMENTALQUALIT¥ TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT NAME OF APPLICANT )3 iNSTALLATION LOCATION SOIL TEST RESULTS T THIS PERMIT IS NOT VALID WITHOUT COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAl. QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, sEPT,C TANK S,Z~''::::::::~~ TY'''~ '~>' :~W/~n:~~'~ '' ,~' ,' ~ ~"~- ~'Z~" ~> V:' ~~ ~''~'/:., ~ '~' '" I~,, ~'~"~,, MINIMUM DISTANCE~, REQUIREMENT~ ~ DIAGRAM OF SYSTem FOUNDATION TO SEEPAGE Pit , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ,SEEPAGE PIT , DRAIN FIELD TO I':I~A/I~EST LO/~ LINE. . WELL TOSEPTfC TAN~7 SEEPAGE PIT - DRA~N FIELD ALSO CONS{DER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT __ DRAIN FIELD f TO RIVERi LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTIGHT REMOVABLE CAPS. CONPORM TO BOROUgh REgUlATIONS REGARDING INSTAI_~-tLATION. I CERTIFY THAT I AM FAMILIAR WITH QUI NT ' GREATER At~:HORAGE AREA BOrOUgh ORDI/~ANCI~ i~O, 28-68 A DESCRIBED SYSTEM IS IN AccOrDANCE WITH SAID CODE, FORM-N . APPLICANT'S SIGNATURE THAT THE ABOVE' Properly Owne~ Mailing Address Buyer Address APPLK NT FILLS OUT UPPER HAl ONLY ';'~'y// '~-., ~'/,,,_2~ /' :'.t,:0.',. :5' ...~'h .h /;< /< z~p co0~ Phone d.?/' ,-';., ,'x'x Lending hletitution Address Realty Co. & Agent Address Zip Code Zip Code Phone Phone Legal Description Street Location Type o~J~esldeece ~./~i ngle Family I~ Multiple Pamily c~ Other No, of Bedrooms Water Supply ]Ind Lvidurd ~*Commum y ~ Public Utility Sewer ~Djsposal ~'lndividual F3 Public Utility ~ Holding Tank ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). Year Individual Installed:__ When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Date Inspector Time Date Inspector Date Inspector Time inspector Field Notes: MUNICIPALITY OF ANCHORAGE [~[!PI'. OF Hr/,LTH 8: ENVIRONM2:xillAL PROi'ECflON. ( '~'~ APPROVED BEDROOMS ( ) DISAPPROVED { I COND~T,ONA~APPBOV^L' *CONDITIONS OF APPROVAL Soils Rating Dale Sewer Installed Welt To Absorption Area Well to Tank Well Log Received Septic Tank Size /' GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received June ll, 1976 Time of Inspection ~.' Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Cony. Alaska Mutual Savings Bank % Chris Anderson ]Post office Box 1120, 99510 Phone: John Adams Phone: Post Office Box 337, Eagle River 274=3561 694-2701 3. Legal Description: Lot 18 Block 2 Meadowbrook Subdivision 4. Location: 5. Type of facility to be 'inspected 6. Well Data: A. Type Single Family Public Utility C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot 'line B. Foundation to septic tank No. of bedrooms B. Depth D. Bacterial Analysis On-site system B. Instal]er ]. Size 2. Manufacturer ]. Absorption Area 2. Material Total length of lines , Absorption area , Other contamination , Absorption area , Sewer Lines __. C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Ret it for Approval of Individual S Ir & Water Facilities Legal Description Lot 18 Block 2 Meadowbrook Subdivision Comments ~/j~ __~ ~- © Approved .... ~ . ~Dlsapproved Date -/ ApprovalNalid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ--034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: ,'rohn Arians VA FHA CONV xxx Mailing Address:P.o. '%:,-_ 337 3. Name of Buyer: Arthur Rcmimu,,~ Ra~la River Day Phone A94-27ql Mailing Address: c/o PNS }!ospit:al garrow, Ak Day Phone 4. Name of Lending Institution: Alaska Mntua]. Mailing Address: P.o. Box l12q AnchoraRe, Ak .... Phone 5. Name of Realtor or Agent: {;arv Oaardorff Mailing Address: 274-35r,] Smileys Realt~ .... Na,r;l.e River 694-2] 14 Phone 6. Legal Description: L 1~ P, 2 ?'[eaclov? Brook Location: Eay, le River hoo? Rd,left on Rantishna Dr., right on Sanctuary Dr., right on Placer Circle SF 2 'Type of Facility to be inspected: Water Supply Type of Supply: XXx Public Utility Individual No. Bdrms. If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) xxx EQ-037 (1/74)