HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 5 LT 2AOnsite File Lake Ridge Terrace Block 5 Lot 2A #051-313-19 Nr liz:1, Municipality of Anchorage n) I - On -Site Water and Wastewater Program • (907) 343-7904 �J �f 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141351 PID Number: 051-313-19 Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New H Upgrade Name: ROBERT RUDE ABSORPTION FIELD El Deep Trench Q Shallow Trench El Bed ❑ Mound Address 14940 WOODLAND AVE EAGLE RIVER AK 99577 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.8 GPD/SF 4.9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.9 Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Block Lot LAKE RIDGE TERRACE 5 2A Fill added above original grade 0-1.0 Ft. Gravel length 2 x 50 = 100 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines -- Distance between lines -- Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line z 862 Ft 2 10 Ft. Well >100' >100' >100' NA >25' TANK ❑ Septic ® S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 11500 Gal. Surface Water >100' >100' >100' NA Material Number of compartments Lot Line >5' >10' >5' NA STEEL 2 NA Foundation >5' >10' >5' NA LIFT STATION Manufacturer Capacity Curtain Drain >50' >50' >50' NA ANCHORAGE TANK 1500 Gal. Remarks EXISTING SYSTEM DECOMMISSIONED PER Pump on level at 25 in. Pump off level at 44 in. High water alarm at 22.5 in. MOA/UPC REQUIREMENTS Pump make and model ORENCO Electrical Inspections performed by MOA PIPE MATERIAL House to tank 3034 Tank to SCH40 Installer drainfield DEAN CONSTRUCTION Drainfield SCH40 CO/MT F810 BENCH MARK (Assumed elevation)100 ft Inspector LARS SPURKLAND, ANSON MOXNESS Inspectiones: ist 9/22/14 9/23/14 Location and description 2nd 3`d 9/24/14 th BOTTOM SIDING NE HOUSE CORNER COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL )'y?er�Smp Conditional Approval: Date \ •4.y~ `� E. SP'JH'rtl�",i�'J: Approved Date 8 !:1 a -2l h Inspection Kepon_'J--1-12.tloc A- -bef+_ I PY-0 �u ire DY1 aR. - `"U +o Septic Area ex; LOT 2A C _Its l / INSTALLED 4—BE0ROOM SEPTIC SYSTEM INSTALLED 1500 GALLON STEP TANK rHt TRENCH LENGTH 2x50 FEET TRENCH WIDTH 5 FEET / MAX EXCAVATION DEPTH 5 FEET ROCK DEPTH 3 FEET 2' INSULATION COVER 2 FEET (MIN.) 0 SWINGTIES A B C 0 24.0 37.0 E 31.0 42.5 F 28.0 57.0 G 20.0 26.5 H 33.01 56.0 1 42.01 33.0 2' INSULATION INSTALLED OVER PIPING SEPTIC SYSTEM PER CODE REOUIREM Septic_j- Area 4' CONTOUR LINES N NOTE SLOPES EXCEEDING 25% WERE NOT OBSERVED ®®®� �F ®f® WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ®®.`P�.•••` '����' ®® ABSORPTION FIELD LOCATION. ®Gj:•' •••AV AV ®® NOTE. THIS IS NOT A SURVEYED PLAT. WELL c4 SEPTIC 4 ••' LOCATIONS TAKEN FROM ON—SITE WATER AND WASTE WATER ® ' ..' ......fi ALL LOCATIONS SHOWN ARE .............. DEPARTMENT DOCUMENTATION. APPROXIMATE. ®®� RS SPURKLAND r ,��� ;•••• NO. CE-11500AV 25 0 25 50 75 SCALE1' — 50 FT, 100 125 150 ®®-wFS OFE ®1j�®P�0 JI'UKKLANU LNGINLLKINU L4 0 RIDGE TERRACE BLK 5 LT 2A SEPTIC SYSTEM ASBUILT 203 V 15TH, AVENUE ANCH, AK, 99501 ROBERT RUDE BA TE: AUG 20 2014 (907) 279-3916 1 14940 VflVBLAND CIR CHUGIAK AK SHEET, 2/3 GRID: NV653 PERMIT # USP141351 PID # 051-313-19 LAKERIDGETERR4CEB5L2A.SC50-ASB.DVG Installed 1500 Gallon STEP Tank Trench Elevation (TyP) Silt Barrier —` TH 2' Insula tion rm aE,:-.m t' f INV PIPE ELEV=97.2' DON ELEV=94.2' -fLE►:=8& NO SCALE Foundation Clean out Monitors A[ - 1500 GALLON STEP TANK o ®® �j' ;••• NO. CE -11500 =<,6® • ASSUMEDAELEVA ION 1RENCH MRK BOTTOM 00 EETE CORNER ®®®®MESS ��®.® SPURKLAND ENGINEERING LAKE RIDGE TERRACES BLK 5 LT 2A SEPTIC SYSTEM DESIGN 203. AK. 99501 15TH. AVENUE ANCH. ROBERT RUDE B4 TE.- SEPT 25 2014 (907) 279-3916 14940 VL79BLANB BR CHUGIAK AK 99577 SHEET• 3/3 GRIB. NV653 PERMIT # DSP141351 PIB # 051-313-19 LAKERIB6ETERRACEB5L2A.B3-ASB.BW6 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141351 Tax Code Number: 05131319000 Work Type: Septic Upgrade Permit Effective Dates: September 08, 2014 to September 08, 2015 Design Engineer: SPURKLAND ENGINEERING Subdivision: LAKE RIDGE TERRACE Site Legal Address: LAKE RIDGE TERRACE BILK 5 LT 2A G:0653 Owner/Address: RUDE ROBERT W & VIRGINIA 14940 WOODLAND AVENUE EAGLE RIVER AK 995779221 Site Mailing Address: 14940 WOODLAND AVE, Eagle River This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 25025 Total Bedrooms: 4 N Private Well N Water Storage 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 (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued B) MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-313-19 Property owner(s) ROBERT RUDE Mailing address 14940 WOODLAND DR., EAGLE RIVER, AK 99577 Site address SAME Day phone 696-3429 Legal description (Sub'd., Block & Lot) LAKE RIDGE TERRACE BLK 5 LOT 2A Legal description (Township, Range & Section) Lot Size APPLICATION IS FOR: IN all that apply) Ft. Number of Bedrooms 4 APPLICATION IS AN: TYPE OF DWELLING: Absorption Field ❑ Initial ❑ Single Family (SF) 0 Septic Tank 0 Upgrade El (w/wo ADU) Duplex (D) ElHolding Tank 1:1Renewal ElMultiple Dwellings F1Privy El (S' and/or D) Private Well ElA Water Storage ❑ AUG 2 1 2014 THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with appkcable Municipal Codes. to owner or autnorizea agent) PermiVRush Fees: rJ Date of Payment: _�17'dlkq CIO Receipt Number: Ori VI 2 G Permit No. 05191435% Permit App_9-1 -1 2.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. dO' W-kL Spurk[arn.d Engineering Environmental Consulting and Design SEPTIC SYSTEM DESIGN LAKE RIDGE TERRACE BLK 5 LT 2A Municipality of Anchorage August 21, 2014 Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Septic System Installation Permit 14940 Woodland Dr. Eagle River, AK 99577 Ladies and Gentlemen: I am writing to request a septic system installation permit for the above referenced property. The existing septic system is surcharged and occasionally backs up into the house. The proposed system will serve a 4 -bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Cates: No groundwater observed. (8/21/14). Soil rating. From test hole 8/14/14 6.2 min/in = 0.8 gal per sq.ft./day No. of Bedrooms 4 Required Area per Bedroom: 150/ 0.8 =187.5 sq.ft. Total area required: 187.5 x 4 = 750 sq.ft. Use shallow trench with 3 feet of effective depth Minimum trench length= 750/5*0.58= 87 ft System: We are proposing a 1500 gallon STEP tank followed by a wide trench absorption field consisting of 2 50 foot trenches with 3 feet of sewer rock (862 sq.ft.). Soils: A test hole was excavated on August 10, 2014. See the attached soil logs. Groundwater was not observed on August 21St, 2014. Ground water monitoring will continue through construction of the septic system. Surface Water: There are no surface waters within one hundred feet of the proposed septic 203 West 150 Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net ill Spurkland Engineering Environmental Consulting and Design system upgrade. Topography: The ground surface is generally level with the proposed area of the absorption field. Waivers: None The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, � 14 Lars p kland, P.E. Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net BLUE SPRUCE UNE ® — �5 - - -// ® I Lor 7 core � co n / At, g rA�e. V / �Hreu� COT 2A ® s �Rr Seuticn \ LOT 3A �Rr u // TERRACE SSD K RIDGE 4A LOCK 5 cor lY NOT€.-�N/gIS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. SD 0 50 100 150 200 250 300 SCALE 1' = 100 FT SPURKLAND ENGINEERINGI ( LME RIDGE TERRACE B5 M I (SEPTIC SYSTEM DESIGN 203 W 15rH. AVENUE ROBERT RUDE DATE AUGUST 21 2014 MR AK. 99501 C907I 279-3916 14940 WETLAND DR EAGLE RIVER AK SHEET 1/3 GRID: NVO653 PERMIT # DSPI11OXX PID # 051-313-19 LAKERIDGETERRACEB5L2A.SCIOO.DWG // INSTALL 4 -BEDROOM SEPTLC SYST INSTALL GALLON STEP TANK TRENCH LENGENG TH 2x50 FEET TRENCH WIDTH 5 FEET / MAX EXCAVATION DEPTH 5 FEET ROCK DEPTH 3 FEET 2' INSULATION 2A N� Area NOTE.• SLOPES EXCEEDING 25% WERE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPTION FIELD LOCATION. rLOE.T• THIS IS NOT A SURVEYED PLAT. WELL hk SEPTIC CATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER PARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE PROXIMATE. 25 0 25 50 75 100 125 150 SCALE, I' = 50 FT NSULATION TO INSTAILLED OVER PIF SEPTIC SYSTEM PER MOA 4' CONTOUR LINES SPURKLAND ENGINEERING I I Wff RIDGE TERRACE BU 5 LT 2A (I SEPTIC SYSTEM DESIGN 203 V 15TH AVENUE ANCiL AK.K.99501 ROBERT RUDE BATE, AUG 20 2014 (907) 279-3916 14940 VUUBLAND CIR CHU6IAK AK SHEET, 2/3 GRID, NV653 PERMIT # USP141XXX PIB # 051-313-19 LAK£RIB6 TERRACEB5L2A.SC50.BVG WIDE Trench, 5' Wide 2 x 50' Long 5' Max. Depth 30' Sewer Rock 2' Insula tion 2' Cover Min. E 10' 1 125' Sch40 PVC with 3/16' Holes 36' O.C, 01 U NO SCALE Trench Elevation (TyP) Slit Barrier 2' Insulo tion 2' Cover 3.0 Ft of Septic Rock Oo 0 Install 1500 Gallon STEP Tank Foundation Clean out 4' Cover Em 1500 GALLON SEPTIC TANK SPURKLAND ENGINEERING FAKE RIDGE TERRACES BLK 5 LT 2A SEPTIC SYSTEM DESIGN 203 V 15TH AVENUE ROBERT RUDE BATE, AUG 21 2014 ANCN. AK. 99501 (907) 279-3916 14940 VODBLANB DR CNU&IAK AK SHEET, 3/3 &RIB+ NV653 PERMIT # DSP141XXX PID # 051-313-19 LAKERIBGETERR4CE85L2A.B3.BV6 Spurkland Englneedng 203 W. ISth Ave. Ste. 202A Anchorage, AK99501 TEST HOLE I _ I DEPTH 1 2 3 4 5 6 7 8 9 10 if 12 13 14 15 16 17 18 19 20 SOIL LOG AND PERCOLATION TEST 011 DESCRIPTION DATE. -Z,/21/14 'GANICS WAS GROUNDWATER OBSERVED: Yes IF YES, AT WHAT DEPTH. - AFTER MONITORING PERIOD: 10 DATE OBSERVED: _ 4W14 PERCOLATION TEST: Sandy Siff VOTES- PRE-SOAKED FILL DATE I GROSS TIME NET TIME DISTANCE DROP 4.563 7 21 14 2:00 pm 0 min. 6.375 2:30 m 30 min. 1.250 3.313 5.625 3.•00 pm 30 min. 3.000 3.375 130 pm 30 min. ?.250 3 375 PERCOLATION RATE. 8.9 minutes/ inch PERC HOLE DIAMETER: 6 inches TEST RUN BETWEEN 5 _ FT AND 6 FT SITE PLAN: N SEE ATTACHED SITE PLAN PERFORMED BY. Anson Moxness. 1, Lars Spurkland P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SPURKLAND ENGINEERING LAU j DGE TERRACE BLIP 5 LT 2A SOIL LOG PERCOLATION TEST 203 V 15TH AVENUE ROBERT RUDE AugANCH. AK. 99501 52014 (907) 279-3916 14940 VDDDLANB BR, EAGLE RIVER AK IGRIB #+ NVO653 PERMIT # PID # 051-313-19 Spurkland Engineering 203 W. 15th Ave. Ste. 202A Anchorage, AK99501 TEST HOLE j 2 DEPTH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOIL A LOG ANDPERCOLATION TEST Cf)]/ MANICS WAS GROUNDWATER OBSERVED: No IF YES, AT WHAT DEPTH: AFTER MONITORING PERIOD: DRY DATE OBSERVED: 8/2114 PERCOLATION TEST: Sandy Siff TOTESPRE-SOAKED FILL DATE I GROSS TIME NET TIME DISTANCE DROP 12.500 8 /f if 1.45 PM 0 min. 11000 1:55 PM f0 min. 10.875 1.625 11115 2:05 PM f0 min. 11.375- 1.375 11063- 11063 2.•15 PM 10 min. 11.500 1.625 11125 2:25 PM l0 min. 11.500 1. 13125 2.35 PM 10 m1n. 1.563 11.563- I �150 11500 1.6 PERCOLATION RATE.• 6.2 minutes/ inch PERC HOLE DIAMETER. 6 inches TEST RUN BETWEEN 3 FT AND 4 FT SITE PLAN: N SEE ATTACHED SITE PLAN PERFORMED BY.• LARS SPURKLAND. 1, Lars Spurldand P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SPURKLAND ENGINEERINGI I MH RIDGE TERRACE BLK 5 LT 2A I I SOIL LOG PERCOLATION TEST 203 W 15TH AVENUE ANCH. AK. 99501 ROBERT RUBE Aug 21 2014 (907) 279-3916 14940 WOODLAND DR, EAGLE RIVER AK GRID #: NVO653 PERMIT # PID # 051-313-19 41UNICIPALITY 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 NAME - PHONE ❑ NEW y� ) p�j l -7171_r_7 1V1 Cj%�6 % p (o�0'2_5 XUPGRADE MAILING ADDRESS S',�. 1)1'4, 4G16767 LEGAL DESCRIPTION " Lel-Z,4, B[�. s . L14kE Ajo4 7_e"1?cz- LOCATION NO. OF BEDROOMS /51- JE J X211 cF ziglv4F Well Absorption area Dwelling PERMIT NO, DISTANCE TO: Uy F Z Manufacturer Material No. of compartments n. Q LU I.- y Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth O Y DISTANCE TO: Well Dwelling PERMIT NO. Jaz 2 z F Manufacturer Material Liquid capacity in gallons O m= DISTANCE TO: Well t ��7 Foundation 3^f° Nearest lot line PERMIT NO. J LL Z No. of lines Length, of each line °:6 Total length of lines Trench width Distance between lines F 2 w inches FTop of tile to finish grade ffc Materiazeneath tile - Total effective absorption areaF, _ 0 inches 14 )> Ek'p = :2- Length Width Depth PERMIT NO. W QI- Type of crib Crib diameter Crib depth Total effective absorption area wa LU Well Building foundation Nearest lot line DISTANCE TO: J- Class Depth Driller Distance to lot line PERMIT NO. J LU DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ESTEen/ :)e4lAl SOI L TEST RATING I' INSTALLER �T Iz REMARKS r as a Ci0 a,l /rte p d� /' p ewe i AW ! a 4� P •aaaw• 66- ,aew� a e f� r a• eweeo•w weave a • - �t.(a Earl P. Ellis ,' w • .a E e �9 w°•a•. O ew aa.E°`n���r FQ ion �011\ AP�PROVED�j/j DATE LEGAL /fin r JU F=" " L_ I -V'-e ID F= 13 F= DEPARTMENT OF""�ALTH AND ENVIRONMENTAL PRPr, ' ECT I ON 825 'L' 'REET, ANCHORAGE, AK. 9950%. 264-4720 1 0t'4 I TE �; EE W EE M U F:I* 0 F;: Fl r.- F=• FE FZ- M I -F PERMIT NO. < 780409 APPLICANT HARRY MACKEY SR BOX 1175 CHUGIRK 99567 '88-2813 :��4FEE LOCATION BLUE SPRUCE LANE LEGAL L2A B5 LAKE RIDGE TERRACE SUB LOT SIZE 25 %__S:70:lJAR"E TYPE OF SOIL ABSORSTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SO FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: Jr"-- ::Lla lL_E:NC3_r" flL2 13F,'F:10-.-'EE:L_ E>EEF:10- • 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 15 THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F.? ,F=OU I F;!F=r), :S I ZEE= !:0 EI C-inlL-L_0" PERMIT 0"PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. < I No= F=iFP,* , 0 LJ F=o e i e FR F= 'I T FR EE E -v 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. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. p3F=FRMj-r E:<p*1FRE' -=; oel::.eME3:lEf;? 3 -:IL.- ::L S0,7:B I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. S I GNED: -------- ----------- APPLICANT ISSUED V3. 2 GREA,d ANCHORAGE AREA BM.-iGH IrDepartment of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE E DISPOSAL S(/YSTEM NAME \M/I ` `�'e-"ING ADDRESSLOCATION P�'`'`��"`� LEGAL DESCRIPTION SEPTIC TANK: DISTANCE , NUMBER OF FROM WELL MANUFACTURER -� MATERIAL _ COMPARTMENTS - INSIDE LENGTH INSIDE INSIDE WIDTH_ LIQUID DEPTH LIQUID CAPACITYL_?GALLONS. TILE DRAIN FIELD: TOTAL LENGTH _ DISTANCE FROM WELL FOUNDATION _NEAREST LOT LINE OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH— IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER r DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE - IN. ABOVE TILE IN. WELL: TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM CESSPOOL , OTHER SOURCES — APPROVED DISAPPROVED REMARKS — DISTANCES: INSTALLED BY: C SEWER LINE DEPTH: PIPE MATERIAL:/1 LOT SLOPE: REMARKS: - DIAGRAM OF SYSTEM DATE APPROVED G.A.A.B. WELL CONSTRUCTION LOG Drilling Co. /'�� T C/A'X64#',/,0 - USGS no, ori] lar-,.�'L %/ %�"'I�LG Type of rig ZZ Sly -P Date well completed A/Oy /e "ZZ well owner�A''g'�'y Nearest community Well location: (address A -legal description) �O/ eloc'- a"/d Location sketch or remarks Oti o' ws. .. J 7 ft; Casing: depth (1 —f(• diam.�_id• Static water revel / ( 7- ft. (above, below) land surface. Oale., 1E!Z� Finish of well: (open-end, sc(een, perforated, open -hale, other) d /w'r/e Describe interva's and size: Well yIt If tested by (pumping, bailing, air) at i 70 gal/min. for __hours with of drawdown from static level. DRILLER'S MATERIAL LOG Depth below lend Give description of strata penetrated surface in feet (size of material, color, hardness of drilling, and water content) .. 0 ± ._. t/R.c"c/ ',. ::i s✓d `%r,r" ( /4/Ac.E' J _ If "• �' r'w a ;+.� s C. a r r.J of c .five r>! /G'A7r'e eel +40 r-_._..-- t o—. / j? tion IlG• ..ETD j?L. S//AIS. 0_yr e;0'A i t / a' I fir 2 .2/1' c.0 , to /v6 to /V7 ei/ Z Pe — /cyto /3'L )`J.c.Pc. C' AYjy r.S L to IS- if CT.'s LSY to A/r arc to ..... ta:..PS' r3rr.9.f. d+r✓.s' _e.:.._ ..-----."•e'er_ WELL CONSTRUCTION LOG Drilling Co. 4- 71>USGS no, Driller Type of rig Beta we I I completed All/'? Well owner Nearest community Well location: (address & legal description) Location sketch or remarks Nc� c j CL Depth 0. wa d ft: Casing: depth '2 it. diam. in. Static water level 2, f t . (above, below) land surface. 0 a t a Finish of we 1 1(open-end, screen, perforated, open -hole, other) Describe intervats and size: Vie I I yield tested by (pumping, bat lfi,il, air) at '7e dl gal/min. 6 for_'5_hours with 2_1� ft. or drawdown from static level. DRILLER'S MATERIAL LOG Depth below land surface in teet Give description of strata penetrated (size of material, color, hardness of drilling, and water content) t o t o It o t 0 _t o 'Pr �4? for 02,4 t 0— V t o to 7-4D 19 le to /�;7 7 ale, 21e 4�'e to /47 e1z. to 13-Z C I<- C� 4f� XI) e,3 t 0 %41 o__ 5 C- L& . t a—Lcs- 0d rp X MHXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR>� 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ill �����F-_,; N­_�,u L- F Ul t .ct) pm . DEPHRTMENT �`,HEHLTH HND ENVIRUNMENTHL / 0TECTI /�`l/� /^ 25�0 ER. RD ANCHORAGE, SIDE F8R A SEEPHGE PIT. THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE v ���� ��� ��~�� �� ����� F�� R � THE PERMIT NO ( 76444 ) THE OUTFALL PIPE HND HPPLlCHNT OF THE EXCHVHTI8N (IN FEET). SR BUX 1175 CHUGIHK 688�281] LOC: HllON 843UE SPRUCE LHNE LEGHL L2 B5 LHKE RIDGE SUBD LOT SIZE 25000 SQUFIRE FEET VVPL. OF SOIL FIBSCIRF-ilTION SYSTEM I'S': 'Fs++ MHXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR>� 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: �������U'la F--' F-` - 0~�� BHCKFILLING OF HNY SYSTEM WITHOUT FINHL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN HWELL AND ANY ON-SITE SEWAGE DISPOSHL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DHYS OF THE WELL COMPLETION, SP�CIFICHTIONS AND CQNSTRUCTION DIAGRAMS ARE HVHILHBLE TO INSURE PROPER INSTALA-FIT ION. �Ell �h-1 I 'J 6_ I., ��F-', c��� ������ �F;�� I CERTIFY THHT 1� I HM FHMILIHR WITH THE REQUIREMENTS FOR 0N -SITE SEWERS AND WELLS HS SET FORTH 8Y THE QF ANCHORAGE 2� I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]� I T T THE ON --SITE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RESlDE E E ] BEDROOMS. APPLICANT HARRY ISSUED B J_ ����3 -1- �RE, N--" T- IA� � THE LENGTH DIMENSION IS THE LENGT ~~MF~ T) OF EHCH SIDE F8R A SEEPHGE PIT. THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVGTION (IN FEET) THE GRHVEL DEPTH IS THE MINIMUM DEPTH 8F GRAVEL. BETWEEN THE OUTFALL PIPE HND THE BOTTOM OF THE EXCHVHTI8N (IN FEET). �������U'la F--' F-` - 0~�� BHCKFILLING OF HNY SYSTEM WITHOUT FINHL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN HWELL AND ANY ON-SITE SEWAGE DISPOSHL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DHYS OF THE WELL COMPLETION, SP�CIFICHTIONS AND CQNSTRUCTION DIAGRAMS ARE HVHILHBLE TO INSURE PROPER INSTALA-FIT ION. �Ell �h-1 I 'J 6_ I., ��F-', c��� ������ �F;�� I CERTIFY THHT 1� I HM FHMILIHR WITH THE REQUIREMENTS FOR 0N -SITE SEWERS AND WELLS HS SET FORTH 8Y THE QF ANCHORAGE 2� I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]� I T T THE ON --SITE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RESlDE E E ] BEDROOMS. APPLICANT HARRY ISSUED B r :n!iftuation gest �aL7 "Ons test is worth a thousand opinions" 2204 Cleveland Anchorage, Alaska 99503 Performed For Harry Mackey Date Performed 6/25/76 Lenal Descrintion: Lot 2 Bloc4: 5 Subdivision Lake Ridge - This Form Renorts Soils Loq yes Percolation Test_ Ealge River tenth Feet 2 Soil Characterist, Interbedded Gravels and 4 — Silty Sands (GP - GM)/(SP - SM) 6 — 8 — Silty Gravelly Sands (SM) 10 — 12- 14 2- 14 Bottom o± Test Hole 16- 18- 20— Was 6-18- 20— Was Ground Water Encountered? No If Yes, At what Depth? t Readinq Date Gross Time Net Time Depth to,H20 Net Dron' r Percolation Rate minute Prnposed Installation: Seenaae Pit Drain Field _ Der)th of Inlet Depth To Bottom Of Pit Or Trench Cr)mVENTS: 150 Square Feet drainage area required per bedroom. No ground water or bedrock encountered. Test Performed By �f. ) ! Data Certified By: CONSTRUCTION TEST as D Mack Date: 6/28/76 LAB MUNICIPALITY OF ANCHORAGE DEPARTMi_A' OF HEALTH AND ENVIRONMEN L PROTECTION 825 L Street, Anchoraup. Alaska 99501 264-4720 #1: Time 2:00 p.m. #2: Time Date 1-13-78 Friday Date Date Received: January 11 1978 #3: Time Date Insp Pratt Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: x "Q'� \p Mailing Address: Phone: 2. Property Owner: Harry A. Mackey Phone: Mailing Address: Star Route Box 1175 99567 3. Legal Description: Lot 2PBlock 5 Lake Ridge Terrace Subdivision 4: Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms Number of Bedrooms: Three 5. Well System: Individual Well (x) Community/Public Svstem ( ) Permit # Depth of Well Well Log on File (x) Construction J Bacterial Analysis'e 'L 6. Sewage Disposal System: On-site System (x) Public Utility ( ) Permit # - -- r r` Ins_talled L;CP InstalleIci.c�o� Septic Tank Size Manufacturer Absorption Area - Soils Rate /,:;b Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area r to Nearest Lot Line Pager 'Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 2A Block 5 Lake Ridge Terrace Subdivision Comments: Affadavit Attached: ( Approved: Disapproved: Department Worksheet: Letter Attached: ( ) Date: I-- ( (� n-)1 Date: MUNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection *equest 825 L Street, Anchorage, Alaska 99501264-4720 for Approval of Individual Sewer and Water Facilities 1. Property Owner: ✓/il/��y �� L"� /- , Mailing Address: c� 'l. 0��//7S (fj�9a1,lk- Phone: pa- .2- 1 �p 2. Name of Buyer: Mailing Address: Phone: 3. Lending Institution: Mailing Address: Phone: 4. Realtor/Agent: -0/G/y Mailing Address: Phone: 5. Legal Description: 4/A- 4� - 44,ef.-20GC Street Location: 6. Single Family Residence: ( v� Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (v) Public/Community System ( ) If Individual Well, well depth If Community System, name of system 8. Sewage Disposal System: *IOn-site System (vlf Public System ( ) If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. **If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77