HomeMy WebLinkAboutHIDEAWAY HILLS BLK 1 LT 2A
MUNICIPALITY OF ANCHORAGE ~ / ~0~ ~,'~ t~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE ~ E]NEW
LEGAL DESCRIPTION
LOCATION
o ~: DISTANCE TO: ]
~- Z Manufacturer
J ~ Liq. capacity in gallons IF HOMEMADE:
· , ,.v DISTANCE TO' JWell
.J "~ ;~ I' I
~ --~ ~ Manufacturer
1~ J J Well
'~ 3: I DISTANCE TO: I (~Oy~/YI · ~'~J
~"~Z JNo. oflines ,~ I Length of each line
<~ I- Top of tile to finish grade ~
uJ I Length Width
<~ F- ] Type of crib Crib diameter
We,,
DISTANCE TO:
~ IClass Depth
~ J Building foundation
DISTANCE
TO:
I
NO. OF BEDROOMS
Absorption area Dwelling PERMIT NO,
Material No, of compartments
Inside length W dth Liquid depth
Dwelling PERMIT NO.
Liquid capacity in gallons
Distance betwee~n lines
Total e f f ec;l~v~el~b~o r ~l~a rea
PERM T NO.
Material
Foundation Nearest
Total length o.f Jines
Material beneatl~ tile
~, inches
Total effective absorption area
Nearest lot line
Distance to lot line PERMIT 'NO.
Septic tank Absorpt on area(s)
Depth
Crib depth
Building foundation
Driller
Sewer line
OTHER
PIPE MATERIALS ~:, [t,t.~. 'h'~.~
SO, L TESTRAT'?G o a'l
INSTALLER
REMARKS
APPROVED
DATE LEGAL
72-013 (Rev.
GAAB-HD-I
GL ~ER ANCHORAGE AREA BORO~
D'r:~'~RTMENT OF ENVIRONMENTAL QUAL'I'T,~?:
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION 2(J* 2~', ,:-~er'LZt,<i¢,~ hLh;~',
MAILrNGADDRESS l~'~ -~-,'-~I/ /'//L)(? i.t(~/~/¢,,"~ ,( PHONE__
LEGAL DESCRIPTION /()/' ?/). /¢Z,I._' i /-//d~(/c&'c;;,'/ /'/l~tl%
SEPTIC TANK:
DISTANCE FROM WELt
LIQUID CAPACITY
GALLONS.
NUMBER OF
MATERIAL k"~/)~4_j~ '-~/-~Z'/. COMPARTMENTS ~
LIQUID
INSIDE LENGTH ~ ~ INSIDE WIDTH ---~ DEPTH__
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
OR WIDTH /'!/
DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, ~' '" , DEPTH
LENGTH .~:~ I
BUILDING FOUNDATION
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES_
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE.
FOUNDATION
D~-.~ ~ ~ TRENCH WIDTH
/ SQ. FT. LENGTH OF EACHLINE
DEPTH GE FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE__
WELL:
LOT LINE
TYPE
DISTANCE FROM
DEPTH ,BUILDING FOUNDATION.
NEAREST SEPTIC SEEPAGE
, SEWER LINE. ,TANK , SYSTEM
WATER
SAMPLE
, CESSPOOL
, NEAREST
OTHER A
, SOURCES
DISTANCES:
~J. Ltlei~.i~
DIAGRAM OF SYSTEM
DATE
APPROVED
G.A.A.B.
C~U'-~.--:~] % TE
PEF.:MIT NO. ( 8]:0546 )
APPLICANT
LOCFITION
LEGAL
DEPA.RTMENT b, ¢ HERLTH FIND, EN',,,'IRONMENTF~L '~'¢.'OTECTtON
825 '-'L'" STREET., FtNCHORAGE, FIK. 9950±
264-4720
'_'~.EI~.4F'F--: F' F- F-: [r-'it ]ET'
JOHN L FOSS
L2ABf HIC, FIHAY HILLS
26~0 SECLUSION DR
_--..':]:3-8038
LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL FIBSORPTION SYSTEM IS: DRAINFIEL[.',
i'IR).:,'If'IL.~M NUHBER OF BEDROOHS =
SOIL RFITtNG (SQ FT?BR)= ±60
THE REQLI!RED SIZE OF THE SOIL FIBSORPTION SYSTEM IS:
[:, E F' T ~-~ .... ::.L C'~ L. E ~-.~ ~]i T ~--it = ..5e3 ~]i F-.~ :-] %," E t~ .. [:, F F" T' ii.....!] -- S-':
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF FI TRENCH OR PIT iS THE [:,ISTFINCE BETWEEN THE SURFFICE OF ]'HE
GROUND FIND THE BOTTOM OF THE E,'.-:,'CW,/ATION (IN FEET).
THE TF:Ef-~C:~4 ~--.~ Z [:.T'H Z S 5l. C~Z~(~ F-EFT'..
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETI.,.IEEN THE OUTFRL. L PIPE
RND THE BOTTOM OF THE EXCRVRTiON (IN FEET).
PERI',IlT FIPPLICRNT HFIS THE RESPONSIBILITY TO INFORM THIS DEF'RRTMENT DLtRING THE
iNSTALLATION INSPECTIONS OF FIN¥ HELLS ADJFICENT TO THIS PROPERT'¢ AND THE
NUMBER OF RESIDENCES THRT THE 1.4ELL HILL SERVE.
T~.-JC, ( 2 ) ~. f-~SF'EE:T I C,f-~S. RF-tE f4:Ei]]EJ I F:E[:,
BACKFILLING OF FIN'¢ SMSTEI'd WITHOUT FiNRL INSPECTION RND FIPPRO',,,'AL B'¢ 'THIS
DEPFIRTI"IENT HiLL BE SUBJECT TO PROSECUTION.
i'"tlNIMLIH DISTANCE BETHEEN FI HELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
±00 FEET FOE'. A PRI',,,'FITE HELL OR ±50 TO 200 FEET FROM A PUBLIC HELL DEPENDING
UPON THE T"r'PE OF PUBLIC HELL
MINIMIJM DISTANCE FROM FI PRIVATE HELL TO A PRIVATE SEHER LINE IS 25 FEET AND
TO A COHMUNIT"r' SEI.qER LINE iS 75 FEET.
OTHER REQUIREHENTS MFI'¢ APPL'¢. SF'ECIFICRTIONS AND CONSTRUCTION DIAGRAMS RRE
FIVFtILABLE TO INSURE PROPER INSTRLt._ATION.
I CERTIFY THAT
±: i AM FFIi'dtLIAR HITH THE REQ. UiREMENTS FOR ON-SITE SEHERS RND HELLS FIS SET
FORTH B'¢ THE MUNICtF'FILIT¥ OF FINCHORFIGE.
2: i 1.4ILL INSTALL THE SYSTEM IN RE:CORDRI'.,ICE I.,.IiTH THE CO[:,ES.
3: I UNDERSTRND THRT THE ON-SITE SEHER SYSTEM HR'¢ REQUIRE ENLRRGEMENT IF THE
RESIDENCE tS REI'dODELED TO INCLUDE MORE THRN 3: BEDROOMS.
SIGNE~ RF'F'LZCRNT *OHN L FC]~ ...................... '~~ V~ ~,
/, ,/. ¢, ¢ ,
GRl~'~,'t'~:R ANCHORAGE ArEA BO~'i~.J/UGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TelePHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
2133
INSTALLATION LOCATION ~ ~'~"~
INSTALLATION DP: SEPTIC TANK SEEPAGE Pit
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
PHONE
· DRAIN FIELD OTHER
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. '
DIAGRAM OF SYSTEM
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~/
FOUNDATION TO seepage Pit ~ . Drain Field
SEPTIC TANK TO SEEPAGE Pit WALL ./~-~/ /
SEPTIC TANK ~ , SEEPAGE PiT ~' . Drain FIELD .
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS·
WATER MAIN TO SEPTIC TANK .//~:~ / , SEEPAGE PIT ~/5~
/
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT
TO RIVer LAKE STREAM,
DRAin FIELD
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·
GRAVEL BACKFILL
CONFORM TO BOROUGH F;~EGULATIONS REGARDING INSTALLATION.
health A6T~IdR~TY '
i CERTIFY THAT I AM FaMiliar WiTH THE REQUIReMeNTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATEDESCRIBED~///~/~SYSTEM IS IN ACCORDANCE~____APPL1CANT,sWITH SAIDsiGNATuRECODE. ~~. ~---~~/~~/~ /
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
...~-,,?~ 5
6
8
9
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
SOILS LOG - PERCOLATION TEST
SOl LS LOG
PERCOLATION
TEST
SLOPE SITE PLAN
11
---~---12
13
14
15
16
17
18
19-
20-
COMMENTS
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ /"~-~ ~ ,~ ~
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND
~- s- ~ /~.~,
72-008 (6/79)
· TESTING · EXPLORATION · CHEMICAL · MATERIALS · INSPECTION
279-2581
1940 pOST ROAD
ANCHORAGE, ALASKA
99~Ol June 13, 1972
W. O. 10949
Clemmer Construction Co.
P. O. Box 4-301
Anchorage, Alaska 99510
ATTENTION: Mr. Clemmer
PROJECT:
Seepage Pit/Lo~ SA, Block 1, Hideaway Hills
Gentlemen:
Using the soils information included in our report of April 13,
1972 (attached), we submit the following with respect to seepage
pit size.
With the three bedroom house proposed, disregarding the top 1'-2-
feet of soil, and assuming a 12-foot deep pit, a pit perimeter
of 76.5 feet, or approximately 19'x19' square, is necessary.
Since the soils exploration covers only a ten-foot depth, we have
assumed the same gravelly sandy silt from 10- to 12-feet. If a
water table is encountered, the pit can be only ten feet deep.
Very truly yours,
ALASKA TESTLAB
Staff Engineer
JLS:ld
MEMBER
APPLIC FILLS OUT UPPER HAL,' "ONLY
.__ Phone
~roperty Qwner ='~,? '~) ~!~.~,~..~, \ ~,. ~'~'
Lendinglnstitution t~~ ~¢~_7_tO~%~ ~.~ Phone
Address Zip Code
Type o~os~nce
~ingle Family
~ Multiple Family No. of Bedroo~
O Other
Water Supply
~ Individual A~ACH WELL LOG. A w¢l Icg is required for all wells drilled since June 1975.
For wells drilled prior to that date, give well depth (attach Icg if available).
iCommunity 8owor D~sposal
Cndividual Year Individual Installed: _
~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date ~
Inspector Inspector Inspector Inspector
Field Notes:~o__. ,
*CONDITIONS
OF
APPROVAL
( '~) APPROVED BEDROOMS
( ) DISAPPROVED
( ) CONDITIONAL APPrOVe*
DATE~'¢~~BY:
, Well to Tank Septic T~k Size
72-023 (3182)
ISAACS PUMPING SERVICE
(Norm Tibbetts, Owner)
6215 Quinhag@k Street
ANCHORAGE, ALASKA 99507
Phone 344-0114
I
TAX I
TOTAL
4769
All claims ~,nd returned goods MUST be
accomp~,nled by thi.~ bill.
June 16, 1983
~lro arid Mrs. John Foss
2630 Seclusion Drive
Anchorage, AK 99504
Subject: Lot 2A, Block 1~ Hidea%~ay Hills Subdivision
Approval for the individual sewer and water facilities cannot
be granted until the following iter[~s have been completed:
o The septic tank pumped with a receipt submitted to tills
department o
o An adequacy test needs to be performed on the existing
leaching area. This test will deterraine if the system is
adequate according to National Standards. A listi~lg of
private firms performing the test is enclosed. This report
needs to be submitted to this office for our review°
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720°
Sincerely,
Enclosure
C~4/ej/E2
Cory ¥~iliis