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HomeMy WebLinkAboutBIRCH HILLS TERRACE #2 BLK 3 LT 1 Birch Hills Terrace # 2 Block 3 Lot 1 #050 - 141 - 40 Municipality of Anchorage . Community Development Department Page 1 of 3 On-Site Water& Wastewater Program 4700 Elmore St. •P.O. Box 196650 Anchorage, AK 99519-6650 •http://www.muni.org/onsite •(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP161319 PIO Number. 050-141-40 ❑ New •Upgrade Name: JOHN GRUBER ABSORPTION FIELD Address: ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 17915 TEDROW DRIVE *EAGLE RIVER, AK 99577 0 Other Phone: No.of Bedrooms: Soil Rating: Total Depth from original grade: 854-9527 3 GPO/Sq.Ft FL Depth to pipe invert from original grade: Gravel depth beneath pipe: LEGAL DESCRIPTION Ft__ Ft. Subdivision: Block: Lot: Fill added above original grade. BIRCH HILLS TERRACE #2 3 1 �1�,C, CC? G Ft. Township: Range: Section: Gravel width. v Beds Number of lines: Distance between lines: SEPARATION DISTANCES FL- Ft. Total absorption a Number of trenches: -Dist between trenches: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SQ.FL t Ft. Well 100'+ EXISTING - - 25'+ TANK • Septic ❑ S.T.E.P. ❑Holding 0 Other - - - - - , Manufacturer: Capacity: Surface Water 100'+ - - ANCHORAGE TANK 1000 Gal. Material: Number of compartments: Lot Line 5'+ - - N/A STEEL 2 , Foundation 5'1' - - LIFT STATION Curtain Drain -u NONE KNOWN —0— Manufacturer C.•- I Gal. Remarks: PER THE CONTRACTOR.THE OLD SEPTIC TANK WAS 'Pump on•levet at: 'Pump on•level al: IHghwater alarm ac DECOMMISSIONED PER UPC Pump Make&Mode• Electncat Inspections performed by: PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer FLINTSTONE ENTERPRISES, LLC Draintield EXISTING CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00 FL Dates: 1st 5/11/2017 2nd Location and Description 3rd - 4th - BOTTOM OF SIDING NEAR FCO ENGINEERS SEAL Community Development Department Approval +4�.••.:"1r��? 4, Conditional approval: Date: s. 1_ • • • '►1' i • • "it • . ness* • • IOC,...), C -79p3 a Cboote4 •���•t,.., 11 •e, . .. Approved: RtibifCNG. Date: V 1 I do 1 .• FESS‘��♦•• • LICENSE -.11tl ,♦ kAECC884 r���� Inspection Report 1-1-12.doc OSP16N;319 RECORD DRAWING 050-1 ID NUMBER. 050-141-40 -J GARAGE — __ r r I / rr ~'t' I 1 • ' .4 ~ ' '+" �' 'y• EXISTING 3 i am' •• BEDROOM HOUSE i .. • J3RI.yEWAW'�4i ,. r�i-.• / • ..• -� �.! �. - r r .' r 1♦,' 1 I • r i / A :' r C r I '• NEW 1000 FCO rr `t a-•. GALLON *STT21 r SEPTIC TANKI ' 1313L1&2r I r I I I I •PO\Jcj '; ��, DRAINFIELDEXISTING r r ild X00 I' i co 'S I SUMP r r i r = I r U WELL I FCO 26.5 3.3 13.7 • r / ST1 24.3 6.8 _ 17.9 f W .:• i ST2 25.7 12.5 22.7 1 / DBL1 28.1 14.2 23.4 r r TEDROW DRIVE DBL2 29.3 13.8 22.4 1 r SUMP 60.0 45.6 49.8 r r I SEE ATTACHED LETTER FROM FLINTSTONE r ENTERPRISES, AKA JR'S EXCAVATING (CONTRACTOR) N STATING THAT THE WATER LINE WAS "NO CONFLICT" ; 1 WITH THE NEW SEPTIC TNAK LOCATION. THE WATER I SCALE f LINE LOCATION WAS NOT INSPECTED BY GEG, LTD. 11 1•-30 I F ,._'_` % angASSIIII II iii ik do . ..- 4r.•\ *I. GARNESS ENGINEERING GROUP, Ltd ' 4* 1. = • , • CIVIL&ENVIRONMENTAL ENGINEERS - ( • 3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507'PHONE(907)337-6179'FAX(907)338.3248'WEBSITE.www.garnessengmeenng.com ` ` + •• PREPARED FOR. PHONE NUMBER PAGE NUMBER: 0 ; = .mess . + JOHN GRUBER 854-9527 2 OF 3 0��y�,'/ C 79 3 '� � PROJECT/LEGAL DESCRIPTION. DRAWN BY- . •• ••. �. T P. BIRCH HILLS TERRACE S/D#2; BLOCK 3, LOT 1 PNB "'# Q•••• •�� I'�•�•N•,�`, TYPE OF WORK: DATE: ,+a� ES51"' **• RECORD DRAWING 7/11/17 8 LICENSE 4 gilliz�isla� cPERMIT NUMBER: PARCEL ID NUMBER: NNSk .OSP161319 RECORD DRAWING 050-141-40 2" INSULATION PER CONTRACTOR FINAL GRADE=99.53-99.55 ST1 ST2 TOP OF TANK - TOP OF TANK AT INLET=97.41 _ _` AT OUTLET=97.40 I�WI//I ///////////I/////AI /////%I NEW 1000 GALLON INVERT OF BUNG SEPTIC TANK INVERT OF BUNG AT INLET=96.79 AT OUTLET=96.63 SEE ATTACHED LETTER FROM FLINTSTONE ENTERPRISES, AKA JR'S EXCAVATING (CONTRACTOR) STATING THAT THE WATER LINE WAS "NO CONFLICT" WITH THE NEW SEPTIC TNAK LOCATION. THE WATER LINE LOCATION WAS NOT INSPECTED BY GEG, LTD. ç •• *some `,,_• GARNESS ENGINEERING GROUP, Ltd (I4J 20. ' . �1: CIVIL &ENVIRONMENTAL ENGINEERS • 3701 E.TUDOR ROAD.SUITE 101 'ANCHORAGE,AK 99507'PHONE(9071 3376179'FAX(9071 338.3246'WEBSITE www.gernessengineering.com ��,-r . • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 1/ . ,ff - . . ess :�.L,j= JOHN GRUBER 854-9527 3 OF 3 0j0�J,•,: r -79 3 * PROJECT/LEGAL DESCRIPTION: -DRAWN BY: • ,, � BIRCH HILLS TERRACE SID #2; BLOCK 3, LOT 1 PNB ..+ 4 •'•I' 'id ,1.,.4�,�'P. �.4P TYPE OF WORK DATE: LICENSE 11/4. ����+`• RECORD PROFILE DRAWING 7/11/17 #AECC884 /107A er-771VA _*A AZ \vim • Flintstone Enterprises LLG Division of JR'S Septic Pn[nping LLC. Phonc#694-6454 P.O. BOX 773415 Fax 344-9821 EAGLE, RIVER ALASKA 99577 Date: 6/20/17 BIRCH HILL TERRACE SD#2 BLOCK 3 LOT 1 THE REFERENCE PROPERTY WATER LINE WAS LOCATED BYA LOCATE METER. THE WATER LINE WAS IN NO CONFLICT WITH THE NEW SEPTIC TANK LOCATION, DAVID E MER) On-Site Water and/or Wastewater System Permit c o " Hyp MUNICIPALITY OF ANCHORAGE Development Services Department � On-Site Water & Wastewater Program till I I 1'' 4700 Elmore Road, PO Box 196650 Department Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161319 Tax Code Number: 05014140000 Work Type: SepticTank Upgrade Permit Effective Dates: October 26, 2016 to October 26, 2017 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: BIRCH HILLS TERRACE#2 Site Legal Address: BIRCH HILLS TERRACE#2 BLK 3 LT 1 G:0153 Owner/Address: GRUBER JOHN B & JO ANN 17915 TEDROW DRIVE EAGLE RIVER AK 995778215 Site Mailing Address: 17915 TEDROW DR, Eagle River Lot Size in Sq Ft: 40715 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy 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 By: / u/��' von � - Date: Z746 Issued By: (� `ee& di.it .A't//�. Date: >06�.2096 0 Vasi \y\ , S 4 2015 �> OCT 2 r MUNICIPALITY O\F ANCHORAGE � 4-- Community Development Department C Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On-Site Water & Wastewater Program Mayor Dan Sullivan On-Site Sewer/Well Permit Application wA���,tV For A Single Family Dwelling W Parcel I.D. PIN 00 Property owner(s) JOHN GRUBER Day phone 854-9527 Mailing address 17915 TEDROW DRIVE, EAGLE RIVER,AK 99577 Site address 17915 TEDROW DRIVE, EAGLE RIVER,AK 99577 Legal description (Sub'd, Block & Lot) BIRCH HILLS TERRACE S/D#2; BLOCK 3, LOT 1 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: fig all that apply) Initial ❑ Single Family (SF) Absorption Field ❑ Upgrade (w/wo ADU) Septic Tank ® Duplex(D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: NONE Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: $ o215- - Waiver Fees: Date of Payment: /alaside Date of Payment: Receipt Number: 092716 Receipt Number: Permit No. OSP/10/319 Waiver No. (Rev.01/11) • /.� Qualms GARNESS ENGINEERING GROUPLtd A°"ncedTmO 7Cm CIVIL&ENVIRONMENTAL ENGINEERS • vea/er' October 11 , 2016 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 c31ocR 3 Lo* 1 Ref: Proposed Septic System for Birch Hills Terrace S/D #2; Lot28A G -1� To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. We have been contacted by the owner who stated that the septic tank was in a state of failure (baffle collapsing inside tank) and needed to be upgraded. We are proposing that the old 1,000 gallon septic tank be decommissioned per UPC code and a new 1,000 gallon septic tank. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If/ ou have any questions, please contact us at 337-6179. Thank you for your assistance Incer ly, ' r effrey . 6arness� P.E., M.S. Presid,Ant 3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com / I r- ----- ----.J7 I l I / BIRCH HILL TERRACE S/0#2/ 1 -� / / / BLOCK2,LOT3 _-A- 1 ` I I -q I I I �� BIRCH HIC4TERRACE S/D#2 1 '--_-` --- i/ BLOC1(2,LOT 2 i / I ------__ 1 I \ I BIRCH HILL TERRACE S/D#2 I 1 i / \ / BLOCK2,LOT / 1 I / \t I SERVED BY PUBLIC / / / I I i the' RADIUS 1 -�--y. pppROX.LOCpTtGN I WATER AND A PRIVATE l I / / i � / SEPTIC SYSTEM / 1 i2 ---_" I I I I I I Cr '- �' \ �-�- _ / 1 EXISTING / I \\\I '�-_ _rL"�-�� j GARAGE EXISTING �l I / / BIRCH HILL TERRACE 5/D \ l �'*- I I / BLOCK 2,LOT 7 I\ � 3 BEDROOM: / / \ ' � � HOUSE I i / l / I iD'UTILI7y ESMT _-..,1 I / I I I 1 J I I 100'WELL RADIUS I BIRCH HILL TERRACE S/D#2 / I A • BLOCK 3,LOT 2 _, �------T4-_ l 1 ( i.:.'::�:, PROPOSED I j t\ �_ I JpG ..'2411. .... {� TANK 1 / \ `,I' I UPGRADE I I \\ \ I 5".r 1' I I I I • •S IE LJ I I_ 100'WELL RADIUS !-' I / 1µx' !1ll h I I 1 1 ----1 j Y X j� I tt BIRCH HILL TERRACE S/D f i i 3u^ \tt /� I II \\\ BLOCK 2,LOT 1 Ii -1-,_ iF I o J I \ f --- [i' 1 I' I- 1 \\ /,I I 1 \-\ "`� 's". j EXISTING / = I \ I _ _ I SEPTIC / W i j I I �TEpROI SYSTEM / U I s mo ------ / I IUD-QR/VE 1 / I --1----------4- -QR• E , k' IW L 1�1-- ;!` _ --- ` �" I~ TEDROW DRIVE 1 i APp H/FC I --------„Th \\ I I RO{ RqG 1 I ,______/' rcr7 N t\ L�FTIO^, i I I l i II I \ 1 / I I I I I I SCALE: \\� I i/ I I I / I 9 q°O.� 1 I 1"=100' \ I / I I I\ ROF<<q 1 \`` I I \\ •+ O WO BIRCH HILL TERRACE S/D#2 I / I / 1 \ BIRCH HILL TERRACE S/D -9// 41, I, BLOCK 4,LOT 2 BIRCH HILL TERRACE 5/D#2 I I N I BLOCK 1,LOT 1 / I BLOCK 4,LOT / I I I \ '/• I SERVED By PUBLIC I ( I ( / WATER AND A PRIVATE SERVED BY PRIVATE WELL 1 ------ I AND SEPTIC SYSTEM SEPTIC SYSTEM 1 I SERVED BY PRIVATE WELL 1 AND SEPTIC SYSTEM 1 I I I F__ ~— 1 ?_—.—.� ..—..—..l I F ..�—..—.. i I I \ ,\ GARNESS ENGINEERING GROUP, Ltd ; '49 �- • CIVIL&ENVIRONMENTAL ENGINEERS,- - - I • lit / • • 3701E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507'PHONE(907)337£179'FAX(907)338-3246•WEBSITE'.wnw.9amessengineenng corn baht 9hkA PREPARED FOR: PHONE NUMBER: PAGE NUMBER: . \:,/IJeyTrgy=Gar ess &i JOHN GRUBER 854-9527 1 OF 2 ♦ i-J CE-7.9-53 1.:_� PROJECT/LEGAL DESCRIPTION: DRAWN BY: %/44-,,.....'...10( I •��\� BIRCH HILL TERRACE S/D#2; BLOCK 3, LOT 1 J.L.M. 1l----- •�' \,se TYPE OF WORK: DATE: ♦♦.1fROFL..3. 41.4 LICENSE SITE PLAN FOR PROPOSED TANK UPGRADE 10/11/2016 #AECC884 1��� s' r , III 10'UTILITY EXISTING GARAGE —1 l • • °\ • r • EXISTING ��,II���//////��/ • EDRO 3 HOUSE i Co / \ - 1 1 •a/•* r ��INSTALL EXISTING SEPTIC I. TANK TO BE 1 FOUNDATION / DECOMMISSIONED (\�-CO CLEANOUTS �' / / PER UPC CODE-/ I • CO .> / I " PROPOSED 1000 1, 0*' • ' •/•,,, GALLON SEPTIC TANK r' / k 1111 \ I Q ' .Sl�t�' / ' _ i� J / ,o` / = INSTALL -L / /q// DOUBLE EXISTING DRAINFIELD. CLEANOUTS I� W SUMP AT END OF J U / //..::. \ DRAINFIELD WAS DRY LC J ON 6/9/2016 SUMP /I Q. 111 GEG,Ltd.HAS A 8 PAGE SPECIFICATION it LETTER THAT PERTAINS TO THIS DESIGN.TO / OBTAIN A COPY OF THE LETTER CONTACT / / GEG BY BY PROCEEDING FORWARD WITH THIS r / < / INSTALLATION,THE ENGINEER,WELL DRILLER, 1 CONTRACTOR AND PROPERTY OWNER AGREE / THAT THEY HAVE READ THESE i / SPECIFICATIONS AND AGREE TO ACCEPT THE i J TERMS AND CONDITIONS OUTLINED. / TE DRO1/1/ , /1 WATER SERVICE LINE TO BE / -- LiR/VE PROFESSIONALLY LOCATED r/ N / PRIOR TO INSTALLATION OF THE PROPOSED SEPTIC TANK / --‘. • SCALE' I ` � 1'=30 / ...<(h...... ... .... < o�� at IC i GARNESS ENGINEERING GROUP,Ltd t, I T I " 4 CIVIL& ENVIRONMENTAL ENGINEERS - --- • - .a 0----1- r 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507'PHONE(9071337-6179'FAX 1907)33B-3246'WEBSITE.w« m gernee,glieemmm g • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 CI •• i ey ft-Ga 'SS : W• JOHN GRUBER 854-9527 2 OF 2 �•-'' % CE-7953 :1-,./ PROJECT/LEGAL DESCRIPTION: DRAWN BY: •• (n*'...•ft '-t/ :•st BIRCH HILLS TERRACE S/D#2; BLOCK 3, LOT 1 J.L.M. 0.Fp p o, ♦♦ TYPE OF WORK' DATE' IC.. ROFESS\Cr♦♦ DESIGN OF PROPOSED TANK UPGRADE 10/14/2016 oiAlECC884 ......... MUNICIPALITY OF ANCHORAGE Q .r~i~-- ~_---'/~/-~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~'-~'~r~ ENVIRONMENTAL ENGINEERING DIVISION ~, ~_,~¢_.~_/.;_ 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME LEGAL DESCRIPTION LOCATION ) Well DISTANCE TO: ] ~'~:I-ZO--~ Manufacturer ~~& PHONE ~--~.~--~ [] UPGRADE I Absorption aroea Dwelling /Z' Material ~,~~ Inside length W dth NO. OFBEDROOMS PERMIT NO. No. of compartments Liquid depth Dwelling PERMIT NO. Material Liquid capacity in gallons Foundation / Material Beneath tile Depth inches Nearest Jot line Trench width Distance between lines Total effective absorption area PERMIT NO. inches Crib depth Total effective absorption area Building foundation Nearest lot line Distance to lot line PERMIT NO. Driller ' ~ [ DISTANCETO: Ma~ --~ Well / No. of line~ Length of eacj~ line I I Top of tile to flmsh §fade [Length Width~ ~ I DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER TERIALS _ SOIL TEST RATING NSTALLER REMARKS Z U I I ! 72-013 (Rev. 3/78) DATE / LEGAL ' ~zu ... olREET ANCHORAGE, ALASKA 99501 (907) 264-41 l I GEORG[i; M. SUluLI VAN, MA [)l'il~AlYrMt' NT O[: IIEiALTH AND t:iNViF~O/dMENTAL I'RQ FEC'I !ON Decen~er 31, ],.980 C.P. Development Post Office Box 323 Eagle River, Alaska 995'77 Permit tf 800646 i Subject: Lot 1 Block 3 Birch Hill Terrace Subdivision A permit issued by this department for well and/or sewer system has expired as of .this date. PezTnits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to thJ. s department to document the installation (late. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely ~ee~iNo~ EBnU~'~hronm~nt~t '~c ial i st LNB/ljw enc: Copy of Permit SWP/057 PERMIT NO. RPPLICRNT C.P. DEVELOPMENT P.O. LOCRTION TERRACE DRIVE LEGAL : BOX TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH LOT SIZE G94-2~50 4~560 SQUARE FEET MRXlMUM NUMBER OF BEDROOMS SOIL RATING <SQ FT?BR>= t00 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ~',EPTH= lc_--I LEr-IISTH= 25 ~3 ~: R"..-' E L C-,EPTH= 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R 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 GRRVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F-:E,_-~.I_I I F-:EC-" SEPT I r: TR~F~:: S I ZE= l~O~_J I]RLL, C,~-IS PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RN¥ WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TL4,D <2> I ~SPECTI,D~-~S RRE ~:EQL, I BRCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION RND RPPROVRL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSAL SYSTEM IS i00 FEET FOR R PRIVRTE WELL OR 150 TO 288 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 50 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY, SPECIFICATIONS 8ND CONSTRUCTION DIAGRAMS 8RE AVAILABLE TO INSURE PROPER INSTALLATION. PERt-11 T E.'---::P I RES DEISEMBER _-?:--1.. i'...:,- 8,--_~ I CERTIFY THAT t: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH B'T' THE MUNICIPALITY OF ANCHORAGE, 2: I ~,~ILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES. S:: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. _-, I GNE[:, ' RPF'LICI~T C.P. DEVELOPMENT I :,_&lEE., __DRTE ___ V4. 0 O & E ENG,NEERING & DEVELO, MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Performed for: Name: SOIL LOG Tel. No. Earl Ellis 688-2280 Mailing Address: Legal Description: Depth (feet) 0 Soil Characteristics 6~ 7__ 8~ 9__ 10__ 11 12~ 13__ 14 PLOT PLAN PERC. TEST Ground Water Encountered: Yes.__ Proposed Installation: Seepage Pit Comments: No l~' If yes, what depth Drain Field.__ Performed by: Date: ' ' DATE RECEIVED - ,, ~ INSPECTION APPOINTMENTS ~" DATE DATE DATE INSPECTOR INSPECTOR ' INSPECTOR/~ MUNICIPALITY OF ANCHORAGE NIUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF I !~.~LTi. I & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL F,~©TECTION ENVIRONMENTALSAN TATIOND VlS ON FEB 4 1981 Telephone 264-4720 DIRECTIONS: Coml~lete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ~'- ~ PHONE M~I LING ADDRESS /~ ~ PROPERTY RESIDENT (If diffefE~nt from above) PHONE 2. I~ YI~R PHONE MAILING ADDRI~SS ~ 3. LENDIN(~ANSTITUTION I PHONE MA~ Li N-G ADDR ESS MAI LING ADDRESS 5. LEGAL DESCRiI;TION ........ STREET I' OI~ATION I ' ' ' .... 6. TYPE OF RESIDENCE ~]~.. SI NG LE FAMILY [] MULTIPLE FAMILY 7. WAT~ER S~JPPLY ~...~ NDIVI DUAL* 'C__I COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM "~ I N DIVI DUAL/ON-SITE** [] PUB LIC UTI LITY NUMBER OF~BEDROOMS [~)ne [] Four [] Other ~~o [] Five Three [] Six ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) · THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] NDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] I NDIVI DUAL/ON -SITE [~] PUBLIC UTILITY Connection Verified []Septic Tank or r--IHolding Tank Size: J ~){~(~)If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line NUMBER OF BEDROOMS [] ONE [] TWO [] THREE [] FIVE [] FOUR [] SiX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL Septic/Holding Tank IAbsorption Area JSewer Line [] OTHER iNearest Lot Line 5. COMMENTS [~/~ApPROV ED FOR -'~-.~- BEDROOMS [] CONDITIONAL APPROVAL (letter must ac,~ ~"'-DISAPPROV ED pany certificate) 72-010 (Rev. 6/79) CHEMICAL & Gk, JLOGICAL LABORATORIES ,.,F ALASKA, INC.~ D ' ' TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street nk ri ing Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name ? Mailing Address .- - City Mo. Day Year I.D. NO. State :. Zip C~ SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. 4 LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to ineicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst I I I I r-r-1 *No. of colonies/100 mi or No of Positive 3orbons. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source a.m. Date Received Time Recelvecl __ I).m. Lab. No. Pr~umptlve ],0mi 10mi ].0mi 10mi 10mi 1.0mi 0.Zml 24 Hours " 48 Hours Confirmatory 24 Hours 48 Hours EMB Broth 24 hours: Broth 48 hours: Multiple Tube Report: 10mi Tubes Positive/Total 1Omi Portions Membrane Filter: Direct Count Collform/100ml Verification: I-TB BGB Final Membrane Filter Results Collform/lO0ml Reported By .,' ~:~ .t~ Date ' Time: &.m.