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Home My WebLink AboutMCMAHON #2 BLK 7 LT 5 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: .Sk/~OO85 PIDNumber: 0173~12--I Name: JUDITH O/-[¢F Wastewater System: [] New [] Upgrade. Address: 3700 I<u-rc~ bR. , ,4~¢~ ,~ffst~. ABSORPTION FIELD£xi~w~v(., No, of Bedrooms: Pho,~e~_~.~. - 02 '~3 3 [] Deep Trench [] Shallow Trench [] Bed [] Mound [] Other LEGAL DESCRIPTION sci, Rating: Total Depth from original grade: GPO/Sq. Ft. Township:j2 ~I~ Range: ~ ~ Sectio~ Fill added above original grade: Ft. Gravel length: Ft. WELL: EXIST/N~ New ~ Upgrade Gravel width: Numberof lines: Distancebetwee. lines: Ft. - - Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. SQ. Ft. Driller: Date Drilled: Static Water Level: Installer: Yield: GPM Pump Set at: F. Casing Height Above Ground:Ft. TANK SEPARATION DISTANCES ~Septic B Holding U S.T.E.P. To Seplic Absorplion LiH Holding Public/PrNate Manufacturer: Capacity in gallo~: Crom Tank Field Station Tank S .... lines ~ ~C ~0~ ~E Well I O 8 f ~ I O' ~ ~ ¢01 Material: STEEL Number of Comp~tments; Surface Water >lOO' >~oo' -- -- >/oo' LIFT STATION Lot Size in gallons: Manufacturer: Foundation ~ ~ I ~ ~ ~ O "Pump on" level at: "Pump off" level at: I High water alarm at: CurtainDrain ~ ~ ~ ~ ~ Pump Make & Modal Electrical Inspections performed by: BENCH MARK Location and Description: I Assumed Elevation: ENGINEER'S SEAL Inspections performed by: F~A~OP ~c~ ~e~ Dates: ~st Department of .ea~nd .umCServices appro?al, 72-013 (Rev. 9/91) MOA 25 &~'~i~ ¢ P~rmit No. ..~L~, fl'5OO3'~ Page ,Z of. 3 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: ~-oT ~ ~LK 7, ~c/~/I/-/or,/ '~Z PIDNo.: 01"15~12.1 79-013 A (Rev, 9/91) MOA 25 X ~ ~/ELL j"=$O~ ENGINEER'S SEAL ~.~*% CE-3589 ~ttS~ Technical Se~ic~ ~.... .., ~~4530 Echo Street ~ ~-- '"'."' ~c~oraae, AlaS~ 99S1R Permit No. <;W cl~ 00~3 Page :3 ' of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LoT S~ ~LI< 7¢ ~¢/v/A~/o~'/ '~Z PID No.: 01'73(~121. 72-013 A (Rev. 9/91) MOA 25 I tuv~r q$.S U,' ~- R T'. f C At.~.: I'~,,=,.~'l-o1~ NO FFOR r"Z. ~_att6~5 Techfi[cal Services 14530 Echo Street /~ichorage, Alaska 99516 ENGINEER'S SEAL 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:SW930083 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:OLIVE JUDITH M OWNER ADDRESS:3700 KUTCHER DR ANCHORAGE, ALASKA 99516 DATE ISSUED: 5/04/93 EXPIRATION DATE: 5/04/94 PARCEL ID:01736121 LEGAL DESCRIPTION: MCMAHON #2 BLK 7 LT 5 LOT SIZE: 40000 (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 (iSAAC80). 3. 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 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 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVEDBY: ~"~~--~-- DATE: DATE: S ~--?Tt c X I-OT ~ ~ oT ,.q S~LT 'l -~° Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 5--~PT[C TtIN~ 5 [T~ 14 5uR~' ~y~o GRt?-- ?ER ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION O~¥\~r~', ~.~ MAILING ADDRESS <~ ~(.k>.~F~ ~ Lt~.~.~ ~,~, PHONE~L~- q~ ~%~' SEPTIC TANK: DISTANCE FROM WELL ,~ G INSIDE LENGTH MANUFACTURER~Ok NUMBER OF COMPARTMENTS INSIDE WIDTH ~ LIQUID DEPTH - LIQUID CAPACITY ~OC) O GALLONS. SEEPAGE PIT: NUMBER OF PITS ~ DIAMETER ~g'~ OR WIDTH LINING MATERIAL[O~ C91~ CRIB SIZE: DIAMETER<~ BUILDING FOUNDATION__., NEAREST LOT LINE '~0'~- . ADDITIONAL ABSORPTION LENGTH--, DEPTH Iq ! DEPTH {~ ! DISTANCE FROM: WELL~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE DY" V I~J¢~ (~ ~"i/¢~¢) CONSTRUCTION BUILDING ~ i NEAREST FOUNDATION 50 _ , LOT LINE I ~1~ CESSPOOL OTHER SOURCES NEAREST SEWER LINE APPROVED DISAPPROVED REMARKS DEPTH SEPTIC TANK DISTANCE FROM: SEEPAGE SYSTEM lDO ! DISTANC ES~<~ L OXcX.) ~ DIAGRAM OF SYSTEM INSTALLED BY: ~tl~3 PIPE MATERIAL: ,~,~\ LOT SLOPE:I~C~ Form No. LQ-031 APPROVED ~_~'~ ~ ~ ~ K~ G.A.A.B. NAME Of APPLICANT GREATER ANCHORAGE AREA BorouGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! PERMIT NO, SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK FINANCED THROUGH TO SE INSTALLED ~Oil TEST .eSULTS -- ~00 / OTHER . NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL, 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. MINIMUM DISTANCES, REQUIREMENTS / FOUNDATION TO SEPTIC TANK ~ ., DRAIN FIELD FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE Pit Wall TO NEAREST LOT LINE. WELL TO SEPtiC TANK J~)~/ SEEPAGE Pit DRAIN FIELD ALSO CONSIDER Area ~/ELLS. WATER MAIN TO SEPTIC TANK /~) , SEEPAGE Pit DRAIN FIELD TO RIVER, LAKE, STREAM. DRAIN FIELD CAST IRON INTO_AN_B____OJ~T~OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET Ih~T~JJNDJS~U~BED SOIL· 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH Airtight REMOVABLE CAPS. GRAVEl. BA(~KPILL CONFORM TO bOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED D DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA bOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE ~ ESGRI B ED SYSTE MIS IN ACCO RDANCE WITH Sal D CO DE. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 pERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT SOil TEST RESULTS '~/~ ~ f~ '~'~(~/~ NOTE, THIS PERMIT 1S NOT VALID WITHOUT SOIL FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. OI~R~ 0~ SYSTEM MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAGE P~T SEPTIC TANK TO SEEPAGE Pit WALL TO NEAREST LOT LINE. WELL TO SEPTIC tan:< ~'~ SEEPAGE Drain FIELD SEEPAGE PIt DRAIN FIELD SEPTIC TANK, '~ , SEEPAGE Pit /~ DRAIN FIELD , DRAIN FIELD DRAIN FIELD "~ / CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 PEET iNTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. BAC~F~ ,' ~.M TO BOR~LLG~'RegUlAtlONS REGARDING iNSTALLATION. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUireMENTS OF GREATER ANCHORAGE AREA bOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. i~/~ ~/ ~ DAte 6 APPLICANT'S S,G.ATU.E /'/ GR~X.ER ANCHORAGE AREA BOROUGH?~ DEPA~ ]NT OF ENV1RON~4ENTAL QUAL 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE Performed For JackOlive Legal Description:- Lot.5 Block This Form Reports Soils L6'g' Date Performed May 9, 1973 7 Subdivision Mc. Mahan XX 'Percol a'tion Test Depth Feet 2 4, 6~ 8~ I0' 12 Soil Characteristics Brown clayey silt (ML) ~? 7 >/ Brown sandy gravel (GW) Gray silty Sand (SM) Gray Sand (SP) Was Ground Water If Yes, At What Date Reading Encou Depth? tered? No Gross Time Net Time Depth to H20 '[' Net Drop "P'ercolation Rate Proposed Installation: Depth Of Inlet Minute Seepage Pit xx Drain Field Depth To Bottom Of Pit Or COMMENTS:,210 sq.ftofdraina~eareais r~quired per bedroom. Trench ~ rfo rmed Carlisle Data Alaska Mineral & Materials Lab, fnc Certif"fed By: ~x~z~A~lg,. Date: May % t973 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Time of Inspection Date of InsDectton Approval Requested By: Address: Property O~ner: Legal Description: REQUEST FOR APPROVAL OF INDIVIDUAL SE~ER & WATER FACILITIES j ~FOR > I '~' / ~ Location: Type of Facility to be Inspectgd:__ Number of Bedrooms: 6. Well Data: A. Type-,//."~ ~ B. Depths_ /°f'/, ,, C. Construction D, 'Bacterial Analysis· 7. Sewage DisOosal System: ',",-~/~ A. / E. Disposal Field: Total. Length of Lines /t~/;[?/- .~'~ ' -- A. Well To: Septic Tan~~, Absorption Area /~ , Sewer Lines _.~3 '¢~"' , Nearest Lot Line /~ / '~ , Other B. Foundation to Septic Tank ~qt .~ > Absorption Area · C. Absorption Area to Mearest Lot Line ~ ~ [~ ..? ~"~ for Approval of Ino~vidual Sewer & Water Facilities .Aonroved Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRA~,~ OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and w~ter fscilftles located mt: Signed Date