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DEPARTMENT OF FIEALTH AND HUMAN SFRVICES
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: ~<~ ~/' J/'O/,,~,~ PID Number:
N~.: ~~ O. ~/~. Wastewater System: ~ew O Upgrade
Address:
~ co/ ~/~ ~6 J~ ABSORPTION FIELD
'7
~ ~ D Deep Trench D Shallow Trench ~ed D Mound D Other
~olal Depth from original grade:
LEGAL DESCRIPTION so,, "~"~:s. d ~/s~. ~.
Subdivision: 3epth to pipe boltom from ori~inal grade: Gravel depth beneath pipe ~ Ft.
~o~: // ~,oo~:~ ~ ~. ~p. lz~ ~ ~,.
Township:~ ~I~ Range: ~ ~ Section: ~ Fill added above~..original grade: Ft. Gravel length: ~ Ft.
Gravel ~ ~[~/~ Number of lines: Distance between lines:
WELL: ~ew ~ Upgrade L~-~~ F~. ~ ~ Ft.
Classification~ (Private, A,B,C): Total Depth: Cased To: Total absorption area: / Pipe material:
Driller: Date Drilled: Static Water Level: Installer: Date installed:
Yield~ ~GPM Pum~Set~t:~ Ft. Casing Heighl~_Above Ground:FL - TAN~
SEPARATION DISTANCES ~.tic ~ Ho~ ~ S.~.E...
TO Septic Absorption Lifl Holding Public/Private Uanufacturer~ Capacity in gallons:
Prom Tank Field Statio~ Ta~k Sewer Lines ~ o~ ~-
Well /C?~ /~ ~ ~ /~ ~(~ / Material: ~..~ ~ / Number of Co~rtments:
Surface
Water ...... ~ ~ LIFT STATION ~'~
Lot ~ ~ _. size in gallons: Manufacturer:
Line ~
CurtainDrain ~ _~ ~. ~. ~ Pump Make & Model Electrical Inspections performed by:
Remarks: BENCH MARK
Location and Description: ~ ~7
Inspections performed by: ~- ~~ Dates: 1st ~
;.
Department of Health ~ Huma~ervices approval
Reviewed and approved Date:
72-013 (1/91) MOA 25
Permit No.SW 910124 Page 2 of 2
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 11, Block 2, Lilac Park
PID No.:
01521135
- BENCN MARK IS ALCAP MARKED BY LARGE CROSS
AT PRC. ASSUMED ELEVATION IS 100.00
DRIVE
POINTS "A" & "8" ARE SPIKES
ORIVEN INTO LARGE SPRUCE
TREES AND MARKED BY RED
FLAGGING,
OO'R
CO S I
oB
POINT DISTANCES INVERT REMARKS
TO "A" TO "B" ELEVATION
C 1OO.3 108.3 111.,3 FDN GO
D Ill.0 ST INLET
E 90.4 96.7 ST CO
F 82.2 86.6 ST CO
O 81.0 84.8 110.8 ST OUTLET
H 74.0 76.4 HO.6 CO
I 66.4 40.5 110.5 CO
J 3~,2 33.3 110.6 CO
K 61.,3 76.5 110.7 CO
M 65.2 46.4 MONITORING
TUBE
SW 168.6 1.31.2 SW CORNER
SE 22,3.2 175.7 SE CORNER
WELL ~44.2 61.0' TO NW
72-013 A (2/91) MOA 25
SW
PLAN
1"=100'
SE
FUUNDAT]BN
CH
CLEAN TB~FARDS
BED
CLEAN TB TANK
PLAN DF
ABSORPTION BED
1"=50'
ENGINEER'S SEAL
,.....~ ........ ~D% ....... y~.....m....~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW910124
DESIGN ENGINEER:BRUST AND ASSOCIATES
OWNER NAME:DRYDEN JAMES 0 &
OWNER ADDRESS:12001 LILAC DR
ANCHORAGE, AK
DATE ISSUED: 6/03/91
EXPIRATION DATE: 6/03/92
PARCEL ID:01521135
LEGAL DESCRIPTION: LILAC PARK BLK 2 LT 11
LOT SIZE: 68244 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL 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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THE DEPTH OF THE/~ED MUST NOT EXCEED 5 FT. BELOW THE
GROUND LEVEL./
ISSUED
DATE:
DATE:
BRUST & ASSOCIATES
Engineers - Planners - Surveyors
1610 Dimond Drive
Anchorage, Alaska 99507
(907) 562-7878
May 28, 1991
Municipality of Anchorage
Department of Health and Human Services
On-site Services
825 "L" Street
Anchorage, Alaska
Lot 11, Block 2, Lilac Park Subd.
This letter and attachments are to accompany a permit application for an on-
site waste disposal system at Lot 11, Block 2, Subdivision. The following are
attached.
1. Drawing of proposed on-site system, and separation distances.
2. Soils log and percolation test results.
3. Trench design calculations.
This subdivision is served by individual wells which appear to be adequate.
The well on the adjacent lot 10 has been used for irrigation regularly.
Development of the adjacent properties will not be adversely impacted by
construction of the proposed system as distances to adjacent features are in
compliance with applicable requirements. The lots in this subdivision average
1 1/2 acres.
The closest feature that could be affected is the proposed well, which will be
placed at the front of the lot with adequate separation distance. Development
of this lot will not affect development of adjacent lots.
Slopes on this lot are rolling, and average about 5%. Drainage is to the
street to the northwest. The area selected for the on-site system is a hollow
which will be graded to assure positive drainage away from the on-site system.
Three test holes were excavated, and showed great variability. Test hole 1
showed a sandy gravel which perked at 250 sf/br. Water was encountered at a
10' depth. Test hole 2 showed a dense silt which visually appeared to have
poor percolation capabilities. This hole was not perked. No water was
encountered. Test hole 3 had soil similar to TH-l, and perked at 188 sf/br.
No water was encountered in this hole. The design was based on the most
stringent conditions. The soil characteristics will be examined during
construction to verify design assumptions. Both the original and replacement
systems will fit within the 30' radii of the test holes.
It is recommended that a permit for the on-site system be issued.
Sincerely,
· ~anle7 Bruat, P.~.,
~ ~ .~,~' ~% ~ HOUSE
~ +~' ~ ~ ~a ~ ~ / (USED
~ STANLEY SRUST ~ I
___
~ ~ NOTES:
c ~uc~ TO MOA
2. S~PlIC IA~
~,~.s. ~. G~AD~ A~A ABOVE O~-SIT[ SYSI[M 10 ASSU~[
"FINAL ELEVATIDNS TO ~E SURFACE DRAINAGE AWAY FROM SYSTEM.
SET IN THE FIELD
""~"~' ~ BRUST A ASSOCIATES PROPOSED ON-SITE
DA~ ~/=~/~ ENGINEERS-P~NNERS-SUR~YORS SEPTIC SYSTEM
~; ~"=~oo' 1810 DIMOND DRI~ (907)~62-7878 LOT 11, BLOCK 2
AN~ORAQE, A~SKA 99~7
W~ ~-~2 LILAC PARK
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
I0
11
12
13
14
15
16
17
18
19
2O
COMMENTS
[~ SOILS LOG
MUNICIPALITY OF ANCHORAGE
SOILS LOG - PERCOLATION TEST
./
SLOPE
PERCOLATION
TEST
SITE PLAN
;GROUNDWATER ¢/~d.;~- S
OUNTERED? ~ L
P
E
AT WHAT /~.~
(' Gross t/' I"/~et Dopth to Net
Reading Date
Time Time Water Drop
- .
· ~. V.-~ ~ ................
t~.~t" eNO. 986-E i
TEST RUN BETWEEN ~ FT AND , ~ FT
PERFORMED BY: ~'~, l~ ,,"?t.z-?, /
DATE:,
72,008 (6/79)
\&
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4,
5-
6-
7
8
9
10
11
12
13
14
15-
16
17,
18
19.
20
COMMENTS
[~SOI LS LOG
MUNICIPALITY OF ANCHORAGE
SOILS LOG - PERCOLATION TEST
BI PERCOLATION
TEST
DATE PERFORMED:
SITE PLAN ',~
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?.
Reading Date Gross N~t Depth to . Net
Time Time
·
,, ;,2,...
PERCOLATION RATE '-""--- (minutes/inch)
TEST RUN BETWEEN FT AND -- FT
DATE:
72-008 (6/79)
PERFORMED (:OR: ,
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14-
15-
16-
17-
18-
19-
20-
COMMENTS
[~' SOILS LOG
MUNICIPALITY OF ANCHORAGE
SOILS LOG - PERCOLATION TEST
~' PERCOLATION
TEST
/
DATE PE. ORMED:
SLOPE
SITE PLAN
ENCOUNTERED?
O
P
E
IF YES, AT WFIAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE / ~,' (minutes/inch'
pERFORMED BY:__ ,~, ¢~r¢,i~,~'~
72-008 (6/79)
I
/
I /-~' ....... ~
BRUST & ASSOCIATES
Engineers - Planners - Surveyors
1610 Dimond Drive
Anchorage, Alaska 99507
(907) 562-7878
June 3, 1991
Municipality of Anchorage
Department of Health and Human Services
On-site Services
825 "L" Street
Anchorage, Alaska
ATTN: Mr. Robbie Robinson
RE: Lot 11, Block 2, Lilac Park Subd.
This letter and attachments are to accompany a permit application for an on-
site waste disposal system at Lot 11, Block 2, Lilac Park Subdivision. The
following are attached.
Drawings of proposed on-site system, and separation distances.
Soils logs and percolation test results.
Design calculations.
This subdivision is served by individual wells which appear to be adequate.
The well on the adjacent lot 10 has been used for irrigation regularly.
Development of the adjacent properties will not be adversely impacted by
construction of the proposed system as distances to adjacent features are in
compliance with applicable requirements. The lots in this subdivision average
1 1/2 acres.
The closest feature that could be affected is the proposed well, which will be
placed at the front of the lot with adequate separation distance.
Slopes on this lot are rolling, and average about 5%. Drainage is to the
street to the northwest. The area selected for the on-site system is a hollow
which will be graded to assure positive drainage away from the on-site system.
Three test holes were excavated. Test hole 1 showed a sandy gravel which
perked at 20 Min. per Inch. Water was encountered at a 10' depth. This area
was selected as the site of the original absorption bed. Test hole 2 showed a
dense silt which visually appeared to have marginal percolation capabilities.
This hole was not perked. No water was encountered. Test hole 3 had soil
similar to TH-i, and perked at 12 Min. per Inch. No water was encountered in
this hole. This area was selected as the site of the replacement system. The
soil characteristics will be examined during construction to verify design
assumptions. Both the original and replacement systems will fit within the
30' radii of the respective test holes.
It is recommended that a permit for the on-site system be issued.
Sincerely,
~Brustt P.E.
WELL RADIUS ~ ~
~'""~ ............... ~' ............ ~'""'"~ ~ ~ / h~ ~ / .- /
~,~,~,~ ........... ~ ...... ~,~,~ IRRIGATION) ~ /~, ~
~ / / A X ~-~ ~REPLACEMENT /
- ~// ~ ~5~o- LOT 11
, o/ / X LOT 10 X '~ .o /
NOTES:
1, ALL MATERIALS AND PROOEDURES TO CONFORM
TO MOA REOUIREMENTS.
~. SEPTIC TANK CAPACITY IS 1500 GALLONS,
3. GRADE AREA ABOVE ON-SITE SYSTEM TO ASSURE
SURFACE 9RAINAgE AWAY FROM SYSTEM.
~' ~ CRUST ~ ASSOCIATES PRoPOSeD ON-S~TE
CHECKED BY; SB
DATE; 6/3/91 ENGINEERS-PLANNERS-SURVEYORS SEPTIC SYSTEM
SCALE; 1"=100' 1610 DIMOND DRIVE (907)562-7878 LOT 11, BLOCK 2 s.~.
ANCHORAOE, ALASKA 99507
JOB NUMBER; 91-12 LILAC PARK ~ 2
_C,O, AT HOUSE
~' LEGEND:
'o 0 = CLEANOUT
o [] = MONITORING TUBE
~ i~ CLEAN TOWARDS
b ~ SED
() CLEAN TO T~NK
~ 0
~ 0 0 0 0 ~ ~ 0
3' 6 e 6' = 36' 3'
PLAN
SEE DETAIL
~ STANLEY ~RUST ~
DETAIL
N,T,S,
,RA~ ~Y, DS BRUST a ASSOCIATES ABSORPTION BED DETAILS
OAT[; 6/3/91 ENGINEERS-PLANNERS-SURVEYORS
SCALE; ]~'=~0' 1610 DIMOND DRIVE (90~)562-7878 LOT 11, BLOCK 2 ~T. 2
JOB NUMBER: ~l-~ ANCHORAGE, ALASKA 99507
LILAC PARK or 2
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14,
15
16
17
18
19.
20
MUNICIPALITY OF ANCHORAGE
SOILS LOG - PERCOLATION TEST
.,,?z¢//7-
SLOPE
WAS GROUND WATER ~;.~ S
ENCOUNTERED? - L
O
P
SOILS LOG
PERCOLATION
TEST
DATE PERFORMED:
SITE PLAN
IF YES, ATWHAT /0.~
DEPTH?
Reading Date Gross // Net Depth to Net
Time Time Water Drop
. NO.
PERCOLATIONRATE~¢'~' c % /;¢1,8 (minutes/inch)
TEST RUN BETWEEN ~ FT AND (-~ FT
COMMENTS
PERFORMED BY: · ~', X~,'"?.~'"~ CERTIFIED BY: ,-~, ./~-~'/~7~
72-008 (6/79)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19-
20-
COMMENTS
[~'"~SOI LS LOG
MUNICIPALITY OF ANCHORAGE
[] PERCOLATION
TEST
SOILS LOG - PERCOI_ATION TEST
~'~ ) 7 DATE PERFORMED:
·// .~:/,, ,; ,,:/ ..-, ,--, ,-,./ ~,:".,..-.::~ ~--/
~LOPE SITE PLAN
E
IF YES, AT WRAT
DEPTH?
Reading Date Gross Net Depth to Net
Time Time
~ ~':..
.. ....
" ..... ' ~Z~'. .... ~...
~,~:¢~ ,~o-":'~',~. -
. ..~,
PERCOLATION RATE ~ (minutes/inch)
TEST RUN BETWEEN ~ ...... FT AND --. FT
CERTIFIED BY: ~ '~'/;:~¢',~ /
72-008 (6/79)
PERFORMED FOR:,,
LEGAL DESCRIPTION:
[~"" SOILS LOG
MUNICIPALITY OF ANCHORAGE
PERCOLATION
TEST
SO,LS 'OC - .E RCO'AT,ON TEST /
DATE PERPORMED=
t SLOPE SITE PLAN
A/Z..
COMMENTS
PERFORMED BYI .~.~, ~"~ ~'~
ENCOUNTERED?
O
P
IF YES, AT WHAT E
DEPTH?
Reading Date Gross Net Depth to Net
Time, Time Water Drop
I,
~ ~ NO. 986-E
PERCOLATION RATE X ~
72-008
[ .
STATE OF ;LI~%SF-i~
DEP/tRTPLENT OF NATUPJ%L RESOURCES
DIVISION OF GEOLOGICAL AND GEOPHYSICAL SURVEYS
WATER WELL RECORD
LOCATION OF WELL
DIP~ECTIONS:
~:ASURING POINT:
[]ground surface '[]other:
BOP. EHOLE DATA:
Material type and color
· / ." f
.-L~ ~ , :. '>.: ~.-Q
/
top of casing
Depth
1
CONTRACTOR INFOP~MATION:
RegiStered Business Name//
~ q ..'~- ./ ........ / //' ..
<I/· ~,~:-sn..'~: ~/..:'/..~..f.:~::: ...~__
slgn?~ure of Au~horlzed ~%sentatlve
Date
SECTION QTRS
TOWNSHIP
:s
WELL .OW"NER :~ '
WELL DEPTH:
Depth of hole: /~.~ ft[
STATIC WATER LEVEL:
ft. Date~''~ l'~/
METHOD OF DRILLING: '~air rotary
~cable tool . ~other:
USE OF WELL:"~domestic ~irrigation []monitor
~public supply []other:
CASING: Stick-up. F~I-~. ft. Diam: [/>~ in
WELL INTAKE: [] open end
[ perforated
Depths of openings: to
[]screened
~open hole
ft
SCREEN TYP~.:~ Diam: in
Slot/Mesh Size[ ................ Length: ft
Set Between and ft
GRAVEL PAC~TYPE:
Volume used: ~'~.~Depth to top:
GROUT~¥R~:,~, Volume:
Depth: from ~ _~.. ft to .... ft
DEVELOPMENT METHOD: /]~/1 .... , +,-~..
Duration:
PUMPING LEVEL AND YIELD:
/F~O ft after / hfs pumping~~-9
PUMP INTAKE DEPTH:/f~) ft Norsepower: /~'~
Date Pump Installed __,~ - ~ Z-' ~/
WATER CHEMISTRY SAMPLE TAKEN? ~yes ~no
Well disinfected upu.. n c_ompletion? ~yes~no
PLEASE MAIL WHITE COPY OF LOG WITHIN 45
DAYS TO:
DGGS
PO BOX 77-2116
EAGLE RI'VER, AK. 99577