HomeMy WebLinkAboutHIDEAWAY HILLS BLK 1 LT 4
~'~' MUNICIPALITY OF ANCHORAGE
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
, ~ /- ~ PHONE E~'NEW
LOCATION NO. OF BEDROOMS
I Well Absorption areaI Dwelling / PERMIT NO.
~ ~' Manufacturer ~/ Mat~ ~ ~0. of co~partmonts~
kiq~c~n ~allons IF HOM~MADfi: Inside lenflth ~idth kiquid depth
0 ~ ~ Manu[acturer Material kiquid ca~acitg in flallons
ken,th of each line Total length of~e~ ( Trench wMth ~istanco bet~eon lines
~ D~ Top o¢ tile to fin,sh grade ¢,~ Material b?~t~ tile ,.c,c. Total effect,ye abs~t~nLrea
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
m 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:
PIPE MATERIALS ~)~,
INSTAELER ~~; .....
REMARKS
3~78)
DEPARTMENT i'~' HEALTH AND ENVIRONMENTAL PROTECTION
,=,,=._, STF,'EET., FII'.ICHORFIGE, AK. ~950±
·
2G4-47~'0
m_-~ ....... "---'; I TF SEI-.JER PEF:~.'£q ][ T
PERMIT NO. ,: o00~,=4 )
APPL I CAN'F
LOCAT I ON
LEGAL
DAVID R. WEBB
SAME
L4 81 HIDEAWAY HILLS .~
2G64 _,EL, LU=IUN DR
LOT SIZE
-'~''' C IS
TYPE OF SOIL ME.~URFTIJN SYSTEM : DRRINFIELD
'- I
20800 -~Q. L RRE FEET
MRX IMUM NUMBER OF BEDROOM_. = 4
SOIL RATING (SQ FT/BR.)=
THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS:
[:.EPTI I= 5 LE~GTH= E. 4 Gi~:FIYEL DEPTH= :--':. -_
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXC~VBTION (IN FEET).
THE TRE~C:I I L~IDTH IS 5. OElO FEET.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE E~CRYRTION (IN FEET).
PERMIT RPPLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF RNY WELLS ADJACENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE NELL HILL SERVE.
T~JC, (~) I f~SF"E:C:TIO~S AFJE RE¢~L~IRE[:,
BACKFILLING OF RNY SYSTEM WITHOUT FtNRL INSPECTION AND APPROVRL BY THIS
DEPARTMENT HILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R HELL AND RNY ON-SITE SEWRGE DISPOSAL SYSTEM IS
~00 FEET FOR R PRIVATE HELL OR ~50 TO 200 FEET FROM R PUBLIC HELL DEPENDING
UPON THE TYPE OF PUBLIC HELL.
MINIMUM DISTRNCE FROM R PRIVATE HELL TO R PRIVRTE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS RND CONSTRUCTION DIRGRRMS ARE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
PE~:M I T F::--'.P 'ir R~S DECErtBER _---~- :.-L ., -1~8~
I CERTIFY THAT
i: I RM FRMILIRR WITH THE REC..!UIREMENTS FOR ON-SITE SEWERS RND WELLS AS SET
FORTH BY ]'HE MUNICIPALITY OF ANCHORRGE.
2: I HILL INSTALL THE SYSTEM IN ACCORDANC.E,./HITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEH~'. S~TEM MAY REQUIRE ENLRRGEMENT IF THE
RE~IE:,ENCE IS REMOD~ ~NCLUDE M~RN 4 BEDROOMS.
DATE
SIGNED
REPLY
472
SIGNED
SEND PARTS 1 AND 3 INTACT -
PART 3 WiLL B~ E;TURNI=D WITH REPLY.
Received From___Z
Address
PERFORMED FOR: ~
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
$
0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-2221~
SOILS LOG - PERCOLATION TEST
"SOILS LOG
PERCOLATION
TEST
SITE PLAN
10
11
12
13
14-
15-
16---
17-
18-
19-
2O
Talbot
4069- E
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
~oi. l-~l ]~i--~-i -~
Gross Net //~' ~1 Depthto Net
Reading Date Time Time { ~'l~Ju~, ) I Water Drop
~ ,, iz : f_s~ t ,~ I;'~~/.~
COMMENTS '" ' 3 -/'"'J) '~ ~ '~ '~ ~ ;
' , ,-, ,~ ~'~ , _ .1.. ~ < ~
CERTIFIED
BY
PERCOLATION RATE 30
TEST RUN BETWEEN ~ FTAND
72-008 (7/76)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
~5
6
7
8
10
12
14-
15-
16---
17-
18'
19-
20-
~,./' 't..~,' ~ SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-§50, Anchorage, Alaska 99502 276-2224
SOILS LOG- PERCOLATION TEST
\
DATE PERFORMED:
[] PERCOLATION
TEST
SITE PLAN
WAS GROUND WATER
ENCOUNTERED':)
IF YES, AT WHAT
Gross Net I Depth to Net
Reading Date Time ~ D r oP/-'"'~
PERCOLATION RATE (~
TES. T RUN BETWEEN FT AND F
CERTIFIED BY?
72-008 (7/76)
P.O. BOX 4-1276
ANCHORAGE, ALASKA 99509
ANALYTICAL REPORT
5633 "B" STREET
From
Address
Mun. of Ankh. ,Hlt.& Environ. Protect Product Soil
Anchorage, Alaska Date July 1, 1980
Other Pertinent Data
Analyz%dby TH Date July 7, 1980 Lab No. 4230
REPORT OF ANALYSIS
.SOIL SAMPLE
LOT 1, BILK/4 4
HIDF_~qAY F,~T,TS SUB.
MESH
4
8
18
35
6O
120
230
< 230
INCHES
<4-2
2-1.25
1.25- ,75
.75-0.187
0.187-0.0937
0.0937-0.0394
O. 394-0.0197
0.0197-0.0098
0.0098-0. 0049
0.0049-0.0025
0.0025-<0.0025
MILLIMETERS
-<100-50
50-31.5
31.5-1 9.0
19.0- 4.75
4.75-2.36
2.36-1,00
1.00-0-500
0.500-0,250
0.250-0,125
0.1 25-0.063
O. 063-<0.063
PERCENT BY WEIGHT
0
11.8
4.9
20.3
7.1
8.9
7.1
18.1
10.3
8.3
3.2
P.O. BOX 4-1276 5633 "B" STREET
ANCHOBAGE, ALASKA 99§09
ANALYTICAL REPORT
TELEPHONE
279-4014
From Mun.of Anch. ,Hlth. & Environmental
Address Anchorage, Alaska
Product Soil
Date July 9, 19~0
Other Pertinent Data
Analyzed by
Date July 14, 1980 Lab No. 4321
REPORT OF ANALYSIS
SOIL SAMPLE
ORIGINAL TEST HOLE
HIDEAW~ffHITI~ SUB.
MESH
8
18
35
6O
120
23O
< 230
INCHES
<4-2
2-1.25
1.25- .75
.75-0.187
0.187-0.0937
0.0937-0.0394
0.394-0.0197
0.0197-0.0098
0.0098-0.0049
0.0049-0.0025
0.0025-<0.0025
MILLIMETERS
<100-50
50-31.5
31.5-19.0
19.0- 4.75
4.75-2.36
2.36-1.00
1.00-0.500
0.500-0.250
0.250-0.125
0.125-0.063
0.063-<0.063
PERCENT BY WEIGHT
0
0.
0
12.5
15.9
17.0
8.7
9.2
10.5
8.8
17.4
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
/
Time of Inspection
Date of Inspection
1. Approval 'requested by: ~-.~
Mailing Address:
2. Property Owner:
?
Mailing Address:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Legal Description:
Phone:
Phone:
4. Location: ~2 (~ 0 ~/
5. Type of facility to be inspected
6. Well Data:
A. Type
C. Constructibn
B. Depth
No. of bedrooms
D. Bacterial Analysis
7. Sewage Disposal System:
A. Installed /?~, ~
C. Septic Tank: 1. Size/~P~)/~
D. Seepage Pit: 1. Absorption Area
E. Disposal Field: Total length of lines
8. Distances: ~ 2~F-~ uuJR,~.,.
B. Installer ~'~l~?l r~e[,/'
2. Manufacturer
2. Material
A. Well to:
Septic tank
, Absorption area
, Sewer Lines
Nearest lot line
, Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
'Pa~e 2,~of t',vo pages - Re¼~.~st for Approval of Individual ~:er & Water Facilities
Leg~~ 1 Description
Comments
Approv i sapproved Date 8.
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 water facilities and these facilities
are operating satisfactorily.
SIGNED
E0-034 (l/74)