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MOA Onsite Information
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—t' Property Information Streets - Secondary 0 0.01 0,02 0.04 km
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Grid 100 WMS Drainageways AWWU SAS GIS
WMS Streams Culvert
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i~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 2.64-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME IPHONE
- . ~(JPG RADE
LEGAL DES R,PT,ONj t
DISTANCE TO: Well Absorption area Dwelling PERMIT NO,
F- Z Manufacturer Material No, of compartments
~ ~- Liq. capacity in gallons Inside length Width Liquid depth
IF HOMEMADE:
r~ ',~ DISTANCE TO: Well Dwelling PERMIT NO.
O z <~ Manufacturer Material Liquid capacity in gallons
r~ Well Foundation Nearest lot line PERMIT NO.
=~ ~ DISTANCE TO:
~ u. ~ No. of lines Length of each line Total length of lines Trench width Distance between lines
~ ~u inches
~ ~- Top of tile to finish grade Material beneath tile , Total effective absorption area
~ inches
~uLength~..~t IW,dth Depth -- PERM,TNO.
! Type of crib ' 'Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO: ..~ ~
~ Class Depth Driller Distance to lot line PERMIT NO.
Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER I
PiPE MATERiALS '~,'~1~ ~L, ~
SOIL TEST RATING
INSTAFLER
Permit
,~ MUNICIPALITY OF ANCHORAGF- '-I ID~-~
Departmen~' ~f Health and Envlronment~ ~rotectlon_ -
825 L Street, Anchorage, AK. 9950
264-4720
* * * HANDWRITTEN PERMIT * * *
Applicant: '~
Location:
Legal Description: ~_ / ~ K ~ ~~/~LL°t Size:
Type of Soil Absorption System Is: /
Trench: Drainfield: Seepage Bed:F/ Holding Tank:
Maximum Number of Bedrooms: ~_ Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:'
DEPTH LENGTH ~:~ GRAVEL DEPTH ~ '!
WiDTH'-~(~)
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance 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).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = ' ' ' S * *
Permit applicant has the responsibility to inform this dep~rtment during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
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 a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 51, i 9 $ 3 * * *
Z certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage. .
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that 3 bedrooms.
Signe~: ~ Issued by: ~-,,~~.
Applicant Date: -'7/~)-0/. ~
SWP/024 (1/81)
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, An'chorage, Alaska 99501 264-4720
SOILS LOG-- PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4-
6-
7
FILL
SLOPE
SITE PLAN
11
13
14
15
16
17
18
19
20
COMMENTS
WAS GROUND WATER
ENCOUNTERED? k/ ¢-- S
IF YES, AT WHAT
Gross Net Depth to Net
Reading Date Time Time Water Drop
(minutes/inch)
PERCOLATION RATE //~
TEST RUN BETWEEN . FT AND -- FT
/ Y
[:,EF'I::tF.,t]"MENT C..., NEFfLTH FIN[':, Et'.,I',,,'I ROI'.,tMEiq]"FIL ~ .OTEE:T I ON
" L=',25 "L"' STREIET., FII'.,tE:f-.IORFIGE., RI'-'.'.' 9950±
RPF'L I E:f::Ii'qT: BOB I.--ILIGflES
LEGFd.... [:,ESCRIPTZON -.~ SUBDIVISION: I.-IEi",II<.'INS
LOT SiZE 0 SL'-:!. FT'. TOI.,.tNSHIF': -
t"IR::'-'i]:MUIfi NLIMEi:EF:: OF E~EDROC,'MS = E'~ SOIL RRTING =
F:']'"IONE: 69,4-.;297'9
BLOCK: 3 LOT~ :;L
RFtNGE: -- SECTION: -
O O O ,:iS~;L F'T.'
LISTED E~ELO!.4 F:IRE THE OPTIOI'-,15 R',,,'FIILI-':IE',L.E TO 'COL! IN DESIGt'.,IZNG "¢OUF-'.-.' SEF:'TIC
SVSTEM. CHOOSE THE OPTIOi'.,! ThlRT E',EST FITS "fOUR SITE.
I CE.F..:T:.r.I='¢ TI-.II=I]':
:1.. t I::IM FFIM:[LIRR HITN THE REr;!LIII:;;'.EMEi'.,tTS FOR ON-.-SI]"E SEI.4ERS FIND HELLS FIE; SET
F'ORTI..-i. B'.r' THE MUNICIPF:iL.:I;T'.¢ O1::' FINCI:.!OF.~FIGE AND THE STRTE OF RLFISKI::I.
2. t t.,.!]:LL It-,1STFILL THE 5'¢STEM I.N FtC:C:OR[:,t=INCE 1.4I]'T-I THE CODES FII'.,tD I--IFtVE RECEI',/E[:,
FI COF".,-' OF' THEE CO[:,E '.:;Ltt','It','IFII-:..:'.¢ FINE:, [ .,.I-I.,~HI'1 I:::I'I"TI:tCF.ti'"IENT'.=:; I.,.It-.IICH IL:., F'FIF.':T CtF "FI-..IIL:';
PERM Z T.
3:. . ]: JI'.,I[':,EI.:;'STFIhI~:, THFfT' TNE Oi',I-.-SI. TE SE!.,.!.ER : :TEll MI=I'9 I-q:Eti-;!LIIF'.E EI'.,ILFIRGEHENT IF TFIE
RESIDEI'.,!CE IS REI"IOL":,EL. ED TO INCLUDE MORE THFIN O E',E[:,ROOMS.
F'EF::M I ]" RPPL. I C!=tNT l...lffr.:..:, THE RESF'O,~',IS I B I L. Z T'¢ TO I !'.,IFOF.'.M F, ERSONNEL. DUR T NG
THE ]:fqS"i'f:tL. LFtTZOI',t .T.I'.,ISPEC':Tif. OI",IS OE FIN"r' HELLS R[::,J'I::tCEN]" TO THIS PF..'OPEF..'T"r' FINE.',
THE NI..It"IBEF...' O1:: RESIDENCES THFIT THE !.4ELL !.4Z~LL '_:;ER',,,'E.
ZF FI LZF'T S;TFITZOIq ];S IiqS"I"FIL.I..E[:,, Rt'.4 ELE:CTP.':ICRL PERi"ilT FII'.,!.D TNSPECTION I"IUST
E:E OE:TFtlNEI::'. FIS~...BIJZL.TS CI:INi'40T E:E Rf:'PROVED 14ZTI--IOL!T FIN EL. EC:TRICFIL II'.,tSF'EE:TION
REF:'OI:-:.'.T. THE EL.EC:TI:;..:ICFIL !*tOF,;:'.I< i"ILIST DE DONE E:"¢ R L. ZCENSED ELECTRICIFIi"4.
S I Gi'.,IED:
F:IPF'L i C:F:II'.,IT: E;OB I..-ILIGI.-IES
I SSIJED E¢.¢:
[:,RTE:
,. . ~M~UNICIPALITY OF ANCHORAGE .~
Department; ,. Health and Environmenta;' '?rotection~~
:~.~_/, <~:4 825 ~ Street, ~chorage, AK. ~9501/~
~ ~ ~ ~ HANDWRITTEN PERMIT
Permit ~ ~/~
Applic~t: ~ Mailing Address:
Legal Description: ~/:: /::~X/~: Lot Size:
Type of Soi~sorption System Is:
- Trench: ~ Drainfield: ..._ Seepage Bed: : Holding Tank:
Maximum N=ber of Bedrooms: ~'" Soil Rating(sq.ft/br) /~/~ .
/ ' --
The Required Sfze of the Soil ~sorption System Is: '
The length d~ension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance 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 min~ depth of gr~vel between the outfsll pipe and
the bottom of the excavation(in feet)-
~ ~ REQUIRED SEPTIC(HOLDINS) TANK SIZE = GALLONS
Permit applicant has the responsibility to lnform t~s ~epartment durlng the
inst~llation inspections of any wells adjacent ~o this property and the number
of residences that the well will serve.
~ ~ ~ Two(g) INSPECTIONS ARE REQUIRED ~ ~ ~
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 a private well or 150 to 200 feet from a public well depending upon the type
of public well. ~inim~ distance from a private well to a private sewer line
is 25 feet and to a co--unity sewer line is 75 feet. Well logs ~re required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
~ ~ ~ PERMIT EXPIRES DECEMBER ~1~ 1 9 8 3 ~ ~
I certify that:
(1) I ~' f~iliar with the requirements for on-site sewers and wells as
' set for~ by the Municipality of ~chorage.
(2) I wi~i~st~11 the ~ystem in accordance wlth codes.
(3) I ~der~%hat/he on-site sewer system may rfquire enlargement if
:e r~~/modeled tO include more
Signe~ ~~/ ~ Issued by: ~~ ~[/~[~
MUNICIPALITY OF ANCHORAGE
DEPARTIViENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
SLOPE
[] PERCOLATION
TEST
SITE PLAN
10
11
12
: ..... '14 -
15-
16-
17-
18-
19-
20
COMMENTS
PERFORMED BY:
WAS GROUND WATER ~O ~
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE T~V//D~
TEST RUN BETWEEN F
,/
(minutes/inch)
FT
DATE:
OAA§-HD.I
', ANCHORAGE AREA BOROI/ ......
DF..f'AFII'MEI~T OF ENVIRONMElYTAL QIJALI'I~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ~J $ p~l IJ
ADDRESS J'& r,~/,/.~ /'~j_~.~ PHONE
LEGAL DESCRIPTION ~ /'~ ~ /f~ ~
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
.GALLONS.
INSIDE LENGTH
NUMBER OF /
COMPARTMENTS
INSIDE WIDTH ~' 1/.//,,/ DEPTH LIQUID__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS '/ OUTSIDE DIAMETER
LINING MATERIAl ~
NEAREST LOT LINE ~'~--~)-
~'~ OR WIDTH , LENGTH , DEPTH
DISTANCE FROM WELL ~o ~.~ . BUILDING FOUNDATION
· TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~2_. 7--- SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ~UNDATION ~ NEAREST LOT LINE.
NUMBER OF LINES ~DISTANCE BETWEEN LINES ~ TRENCH WIDTH
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL: .~-f~/ ~ DISTANCE FROM WATER
TYPE /~,~'~'~"- , DEPTH , BUILDING FOUNDATION. SAMPLE , NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL. , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
GReATEr ANCHORAGE AREA BorOUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3350 "C"STREET ANCHORAGE, ALASKA 99503
TELEPHONE Z74-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
permit NO.
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH /~ ///~
SOIL TEST RESULTS ~
COMPLETION DATE ANTICIPATED
MAILING ADDRESS
PHONE
SEEPAGE PIT ~ DRAIN FIELD . OTHER
N~TE~ T~I~ ~M~ ~S N~T VALID ~IT~UT
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,CTANK'' E :::0 TYPE SEEPAGEAREAS''E T PE ': '
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPT,C TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~ /
TO NEAREST LOT LINE.
WELL tO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT ~[ DRAIN FIELD
ALSO CONSIDER AREA WELLS.
SEEPAGE Pit
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT DRAIN FIELD .
TO River, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEP~TI~TANK AND ]NTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH I~EGULATIONS REGARDING INSTALLATION.
DIAGRAM OF SYSTEM
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
,ESCR, ,e-_?~: TEM ,S IN ACCORDANCE ~'TH SA'D DOD', ~~?
Performed For
Legal Description:
This Form Reports
ANCHORAGE,' ALASK~ ' 99502
Ruben Hughes Date Performed' May 29,. 1973
Lot i Block 3 Subdivision Hinkens
Soils Log xx ~e'r'col'ation Test
Depth
Feet Soil Characteristics
/
__--I Bottom into GM-GW
silty outwash @ 14 1/2'
14'
W~s Ground Water Encountered? No °~°
Orabel - well graded
max. to 4"
If Yes,'At What Depth?
GW
Reading
Date
Gross Time i Net Time Depth to H20 i Net DroF
Percolatinn ~ae~,
nute ,,..,..-
Proposed Instal"lation: Seepage Pit xx Drain Field
Depth Of Inlet Depth To Bottom Of Pit Or Trench
COMMENTS:_ The materialcharacteristics require 85 sq.ft, per bedroom.
Test Performed By W.F. Atwood
.
ALASKA MI ERA!~
Data Certified By:
~iarci~ ~, 1973
G.A. ilenkins~ Jr.
Superi.~tend~nt of Agencies
Suite gl5 Oe~iny Buildi~ig
2200 6th
Seattle~ ~ashington
Subject: Henkins Subdivision, Chugiak, Alaska
~ear ~!r. Henkins:
I am ¥~riting in 'reference ~o your most rece)It letter dated ~-iarcii 19,
1972. In your letter you make si)ecific refereno~ to those lots in
your subdivisio~ '~i~ici~ are :~o~ not able ~.o be sold and b~ilt upon
because Ci~(:y do not meet tile mi))imum r~)quire)$ents as establish~.~d in
the State Emerg~ncy N~astewater )(egulations, specifically ~lO,dO0 square
feet. I am please to advise you that effective ~iarch 26, 1973, the
State Legislature has overCurned tills particular section of tI~e Emer-
gency ~astewater Regulatio~)$. T))is ti~ereOY allows tots under 40,000
square?, feet to be developed on with individual ;,~ater and sewer systems.
Ne are expectii'~g 'the State Departme~)t of E)~vironmen:al Conservation to
come out with peri,anent regulations o~ or before June b, 1973. Wim~
ti)ese regulations become available to this department, I will specifi--
cally send you a copy of ti)ese regula:lons.
Si)ould you have further questions in regards to tl~e State's ~mergency
Regulations, I would ask that you write specifically to ~ir. Kyle Ci)erry
of the Alaska ~partmunt of Environme))tal Conservation, Room L~50 IiacKay
F3uilding, 338 uenali Street, Anchorage, Alaska, 99501. IIoYyever, if
I may be of further assistance in a)~y matter relating to your subdi..
visio)), ~lease feel fr~,c~. to coF~tact me a~)d I will attempt to answer
a~y questions which you ~i~y ~ave on this matter.
Sincerely,
Rolf Strickland, R.S.
Chief Sanitarian
mld
APPLIC .NT FILLS OUT UPPER HA[' ONLY
~ , · ~ , Phone
Property Owner :;- i ~ -' ;..~
Mailing Address /: j~! j'
Zip Code
Phone
Lending Institution ", t-~
¢'~ Zip Code
Address ,
Phone
Realty Co. & Agent t~./!2 ~/
Address ; Zip Code.
Type of Residence
[] Single Family
E~ Multiple Family No. of Bedrooms ! :~ .
[~" Other
Water Supply
ATTACR WELL LOG. A we~l Icg is required for all wells drilled since June 1975.
Individual
[~ Community For wells drilled prior to that date, give well depth (attach Icg if avagable).
[] Public Utility
Sewer Disposal
Year Individual Installed: v / <':: '/..,
~](Individual
[~ Public Utility When Connected to Public Ot)lity:
[] Holding Yank
~ .- .; NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
///
Time Time Time ,~,,7z--.
Time
Date Date Date D a~:;;;~'~ __ ~
Inspector Inspector Inspector Inspector
Field Notes:/1
( ) CONDITIONAL APP~VAL*
Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received
Well to Tank Septic T~k Size
EXCAVATION
ROBERT A. SHAFER
WORK CIVIL ENGINEER
694-2979
July 10, 1983
Robert Hughes
Box 667
Eagle. River, Alaska 99577
Dear Mr. Hughes,
Reference: Lot 1: Block 3~ Henkins Subdivision
A sewer system adequacy test was performed on the system located
on the referenced property, as you requested. The septic tank was
pumped and verified to have a capacity in excess of 4000 gallQns.
The seepage pit and absorption trench was tested by flowing water
through the ~system for a period of 48 hours. During this time
the system accepted approximately 90 gallons of water per bedroom
per day without any adverse effect. However, the Municipal Standards
rec~ire an acceptance of 150 gallons per bedroom per day. This
resulted in a deficieney of approximately 780 gallons over a 24
hour period.
As a result of the above test~_it has been determined that the
septic tank is adequate in. capacity, ~Owever the absorptio~y~em
~.~qu~ upgrading for approximately 5.2 bedrooms. When
this work has b~n a~compli~hed the ~9~r all absorption system
should be adequate for the 13 bedrooms located in the apartment
building located on this property.
As you requested a soil test will be performed and a design for
the upgrading will be provided you in the very near future.
If we may be of further service, please do not hesitate to contact
/
· ~~~Sin~el,/~? //
~ . SHAFER, P.E.
s/ss
cc: Municipality of Anchorage
Department of Health and Environmental Protection