Loading...
HomeMy WebLinkAboutMEADOW BROOK BLK 2 LT 19 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: ~'oO ~)Z O'Z. -'~-O PID Number: _O~O Name: ~ ,~ '~,~ Wastewater Syste~: CNew _ ~Upgr~ Address: ~ ~C,~ ~.~ ~ ABSORPTION FIELD Phone: J No. of Bedrooms: ~ ~S ' ~ ..... ~De nch hallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION isoi~ Rating: Total Depth from original grade: (*~. GPD/Sq.Ft. ¢~- iJ Lot: ~ ~ B~ck: ~Subdivisi°n:~ Depthv/~l~to pipe bottom_ from~,original~ grade:~ ~ Ft. Gravel depth beneath~ pipe Ft. I - ange: Section: Fill added above original grade; Gravel length: WELL: ~ New ~~r] Up rede / Gravel¢:~-{P~4~. Ft Number of lines:~ Oistance between lines: Classification (Private. A.B.C): ~.¢ ~~a~d ~: Total ;;sor~tio; ;;~; (C~¢,~;~v~) ~ipe n;;terial: ' Driller: ~~ Date Drilled: Static Water Level:Ft. Installeri~_~ O~ ~ ~.~_.~~/~ Dateoo~instglled: Yield: ~ Pum~ Set at: Ft. Casing Height Above Ground: _ ~ GPM Ft. TAN K SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P. TO Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in From Tank Field Station Tank S .... Lines ~ ~ ~ ~ · ) 0 0 Material: Number of Cor~arlm~ts: we~ ' ' ~ ~1 Surface ~ t , ) ~ . W~t~r ~ ~0 ....... ~,~._ . LIFT STATION Lot -- I ~ Size in gallons: Manufa~turer~ ..... ~ Foundation 5' ,,, __ ~ "Pump on"levela: ~~~gh~'ater alarm at;' Curtai~ . Pun~ Electrical Inspections performed by: Remarks: ~, ~,-&~_~ ICS~I~ BENCH MARK Location and Description: I Inspections performed by: Dates: lst~-~- %_ ~,;~;~- Department of Health and Human Services approval ~'~'" Reviewed and approved by: .~- ~¢~/~ Date: *~., 72-013 (1/91)MOA 25 Permit No. ~L,O 9-~.0% ,~0 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 Descriptioli: Lt.~L~ ~ e'~ou°~'¢o4:~'(, %a~ PID No.: 72-013 A (2/91)MOA 25 PAGE 1 OF 1 MUNICIPAI,ITY 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:SW920270 DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC. OWNER NAME:BRISTER WILLIAM G OWNER ADDRESS:ill33 PLACER CIR EAGLE RIVER, AK 99577 PARCEL ID:05019166 LEGAL DESCRIPTION: MEADOW BROOK BLK 2 LT SEC 12, T14N, R2W, SM 19 DATE ISSUED: 9/03/92 EXPIRATION DATE: 9/03/93 LOT SIZE: 18208 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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 (iSAACS0). THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: $1'T.E PLt~-:i' DEgAZLS LO%' 19 BLOCK 2 ME/~DOWflROOK SU'BDZV~S~ON ~'n[E;'~E~ ~Oa: GZL AND G]~}f~YLDINE BR~STER 11133 PLACER C~R EAGLE R~VER~ Al'E, 99577 SEAl. E: q" = J00' DRAgN bY CAL. CO%:~DTRgC'i':(Ng. EN~'XNEERS 3~6-2OO0 ,' .d 9601 BUD))Y " .... ' EN6INEER' S SEAL -': ~-$' /~CI't()~XGE~ AI~r 99516 8-24-92 DRAgiN6 Ii 92-S1 .08-.5 FOR: (}I[, AND GERALDINL BRISTER 11133 PLACER CIR EAGLE RIVER, AK, 99577 S(:ALE: 1" = 30' DRAUN BY gal. · ' C(~L.,,TRL~,.~i~G ~NGIS~EDRS 346--2000 eN~ ;:..;" 9601 BUDDY WI~IIM~R DR 694'"9098 ANCIiO~O3~,, a,~(~ 99516 8-24"'92 SCOPE OF ~ROJECT: This abso~;ptic~n field is to I'ep]ace aD existing failed system, and is designed .~or a iHIree (3) beclroom ~;ystem, The served by public wate. r. ABSORPTION AREA CALCUL~TION:3: Minimum Required: 3 Bedrooms :~' 150(~pd/bedroom = 450 gpd capacity ,~o.lls I.'ating, pz'oposed system, 1~2 0pd/sf Minimum sizing: 450 gpd -~ .].,2 gpd/~f -= 375 sf absorption area Using wide-tzench design~ trench length = (required absorption a:cea - width) x correction factor [W + 2] / [W + 1 + 2(D)] where W=5', [375 sf/(5') x correc~:.[on fac:Lo//- (0.50) ] = minimum l;l."a~ch len~ith 3~' Use 5'W x 38'L x 4' D ::: 380 Sf effective minJ.mllm fo~ wide IMP~CT ON ADJACENT LOllS.' There are no public we.[].s within 200' of this absorption system. There are no private wells within 100'' of this proposed replacement field, The proposed ab~o~..p~].o~ system has no J.mpact upon any adjacent lots as shown on attached site diaqram. ,, .ENGiNI L AB~,Ot lION SYSTEM DESIGN DETAILS PROPOSED W~%STEWATER ~SORPTION SYSTEM LOT 19 DLOCI( 2 }~ADO~ROOK SUBDIVISION P ~EPARED FOR: GIL AND GEI~ALDINE BRISTER 11133 PLACER CIR EAGLE RIVER, AK, 99577 NO'f TO SCALE DRAUN BY CAL CON,~I~U ...... ING ~,NGIN~.~RS 3~6'"2000 960! BUDDY WEI~.NER D~ 694~-9098 /~CHOI~E, IiK~ 99516 8--24'-92 DRAWING fl 92'-S3-08-5 ~L'~ORPT'~Oil S~TEM DESIGN i D~,,:, ,f, G'~ DET2kILS PROPOSED WASTEWATER ABSOR:PTION f'iYSTEM LOT 19 I3I,OCK 2 MEADOWBRO0t( SUBDIVIS',[O~ PREPARED FOR: GIL AND GERALDINE BRISTER 11133 PLACER CIR EAGLE RIVER, AK, 99577 NOT TO SCALF DRA~N BY CAL. CONSTRUCTIN~ ENOINEERS3A6-2000 9601 Bt,IDI)~ WERNER DR 69~-9098 ~NCHOHAGE, ~K, 99516 8-24'-92 [~luilici[tality cfi Anchorage DEPARTMENt C)F I.IEALT,~I & tILJMAN SERVICES 825 "1.." Street, Anchorage, Alaska 99502,-0650 PERFORMED FOR: ~/~:1 I '~':~ "'~ ..... J 22 ~ ', '.,% ' 1' 4:%3,-'" D/VF [~ PEF{FOF t 6 19 2[) · WAS GHOUND WA[ [!NCO _IN~ ERL:D? [}elJlh to Waier/litol ReadM Date ~oss i~e[ Depth to Net .... Hme ~ E~rn,~ / Wat~.r / l)~op / ~ EST RUN BE'IWEEN ' [ FT AND ~ ~ ~,~ ~ Q~>~ ~, ~' ,, ~:~ ...... -3-:; ............................................... ............. ~ ......... :=~-~' ~*.-.--~:'~ ..... CERTIFY THA'I THIS TEST WAS PE:RFORMEI) h%j AC(/ORDANCI5 WI-IH ALL STA1EAND MUNiCif;AL GUIDELINES IN EFFEC] ON THIS DA'rE DARE: _ ~ E,~.- .,~. 72-008 ([~ev. 4/85) ANCHORAGE AREA BORuUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME _ 2g'Z¢"~- -,. - G ADDRESS PHONE LOCAT,ON LECAL DESCR,PT,ON___ SEPTIC TANK: ('"~.--~4"~ . MANUFACTURER DISTANCE FROM WELL / INSIDE LENGTH (~ INSIDE WIDTH MATE R IAI LIQUID DEPTH NUMBER OF COMPARTMENTS "'~"'"~' LIQUID C A PAC I TY / O-~'~-~G A L LO N $. TILE DRAIN FIELD: DISTANCE FROM WELL ('~'~"~'J'M~'I ' / TOTAL LENGTN//Z,~ / FOUNDATION _NEAREST LOT LINE_ "C~'~ __ OF LINES ' NUMBER OF LINES / DIS,~A~ NCE BETWEEN LINES TRENCH WIDTH C~ /IN, TOTAL EFFECTIVE ABSORP'FION AREA .2) ~..L~ ____ SQ. FT. LENGTH OF EACH LINE DEPTH: -FOP OF TILE TO FINISH GRADE ~ DEPTH OF FILTER ~ / MATERIAL BENEATH TILE IN. ABOVE TILE ~-3 // IN. WELL: TMPE ~-A'''d't~!A ~/'~/~: CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION__, LOT LINE ..... SEWER LINE , TANK SYSTEM___ CESSPOOL OTEIE R SOURCES APPROVED . DISAPPROVED DISTANCES: ___ .REMARKS DIAGRAM OF SYSTEM SEWER LINE DEPTIq: LOT SLOPE: DATE // ~/ G.A.A.B. Form EQ-032 GRE,,- ER ANCHORAGE AREA BOI-. ,,UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO SE SERVED FINANCED THROUGH PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PEItMIT / ~ SEEPAGE PIT ,, . DRAIN F~ELD , OTHER TO BE INSTALL[D BY 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 SUE]JECT TO PROSECUTION. SEPTIC TANK SIZE TYPE )~ SIZE / TYPE / ~INIMUM DISTANCES, REQUIREMENTS DIAGRAM OF ~Y~TEM FOUNDATION TO SEPTIC TANK / FOUNDATION TO SEEPAGE Pit ~'?~"~ ., DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL /']~- / SePtiC TANK ~ / ~ '2/) /' - ., SEEPAGE PIT /~C ., DRAIN FIELD WELL TO SEPTIC %ANI~//¢ ., SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK ., SEEPAGE PIT DRAIN FIELD SEPTIC TANK,/~/~F) / PIT~'~F? / . SEEPAGE .. DRAIN FIEL TO RIVER, 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 AND THAT THE // OEtE Russe# Oyster 694-2774 SoiLs ~ Foundations Performed for: GEOTECHNICAL 5' DEVELOPMENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 CO. Earl Ellis 688-22.80 Land Development Legal Description: Depths(feet) 0 _SOIL_ LOG Name: ~-__./~)/Y/~' //~/.)~./g/~ _ Tel, No, .~'7,~- Mailing Address: ~.~x .... ~ ..... ~ ~'~ ~~ ~/~ ~/~, 1 6 7 8 _S~ol !, Characteri st!c~ 10 11 12 /z.,/~_ Z~g~ T~'t~,,~-! ~ F Z'/~-/7-~ Ground Water Encountered: Yes No ~---~ If yes, what depth Proposed Installation: Seepage Pit_~_~ Drain Fte~d~ Comments: Performed by: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 <~ ,~?WJ' Date Received July.8.r' 1976 REQUEST FOR APPROVAL or INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: _ Mailing Address: 3. Legal Description: 4. 5. 6. Conv. Alaska Mutual Savinqs Bank Pos't Office Box 1120 John Adams % Chris Phone: 274-3561 Phone: 694-2701 po~t Office Box 337, Eaqle River Lot ].9 Block 2 Meadowbrook Subdivision Location: Placer Circle Type of facility to be inspected 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 3 1. Absorption Area Total length of lines B. Depth D. Bacterial Analysis On-site system B. Instal]er Size 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-O34 (1/74) Page I of two pages Page 2 of two pages - Ret st for Approval of Individual .~ er & Water Facilities Legal Description Lot 19 Block 2 Meadowbrook Subdivision Comments Approved ~-~/p~/~/__~__ D i s a p p r o v e d Date / Approval Valid '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 wa~er facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) '?--q-.7~. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY MUNICIPALITY OF ANCHORAGE 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: 6~ohn Ada;~s VA FHA JUL 8 1976 RECEIVED CONV ': ..... Mailing Address: 3. Name of Buyer: H.:LI~a~:,~ Day Phone 694-270] Mailing Address: 3]00 ::. 2¢ch ?,v~. ~',^~ \m x)~;v? Day Phone Name of Lending Institution: ~o.: J.120 Mailing Address: ?.o. ''~ , Name of Realtor or Agent:_ ~ U:LJ.t Mailing Address: Phone 694-2114 6. Legal Description: Location: Placer Circle off ~ - oactuary Dr. ¢~¢~ Call Smileys [:or al)poinLinent and ct:t. rec t:tons 7. Type of Facility to be inspected: ,~;L,' 8. Water Supply Type of Supply: Public Utility xxx 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)