HomeMy WebLinkAboutBIRCHWOOD SOUTH BLK 1 LT 4AOnsite File
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Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191203 PID Number: 051-294-30
Dwelling: FE&I Single Family (SF) El with ADU F-1 Duplex (D) El Two Single Family Project: ❑ New MM Upgrade
Name
Kerry Jones
ABS. RPT'ON FIELD
Tr c
[I Deen h El Wide Trench 1771 Bed M Mound
Site Address
19115 Monastery Eagle River 99577
Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
ISFI
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original ge
%.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
Birchwood South 1 4A
Fill added above original grade
Ft,
Gr et length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Di between lines
R7
Ft.
SEPARATION
DISTANCES
Tol
septic
Tank
Absorption
I Field
Lift Station
Holding
Tank
Sewer
Line
Total absorption area
Number of trenches
Dist. betwee6`1�es
From
Ft2
Ft.
Well
>100'1
I
TANK 9 Septic ❑ S.T.E.P. ❑ Holding [_-] Other
Manufacturer
Greer
Capacity
1250 Gal.
Surface Water
>100,
Material
Number of compartments
Lot Line
>10'
NA
plastic
2
Foundation
>1 0'
LIQ E§TATIONit
Manufacturer --�..
Capacity
I
Remarks 2" insulation above the septic tank
Gal.
tank is anchored to resist buoyancy
Alarm location
Electrl_carinla`a by.
PIPE MATERIAL House to tank D3034 drainfie]dTank to D3034
Installer
Homeowner installed himself
Drainfield co/MTD3034
Inspector Curtis Townsend, PE
BENCH MARK (Assumed elevation) 100 ft
Inspection Ist 9/6119 9/7/19
Location and description
2nd
dates:
311, 9/11/19 0' 9/21/19 1
top of rear deck, by sliding door
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date
................
Curtis[Y ..........
Date I
iso No. CE 119 V,
Septic System
Approved Date
AR FIESSOON
Note: this approval does not include well permit requirements.
tcev UO/UZI -1 u)
MARK
A
B
SO
20'-10
36'—B"
SV2
25'-4"
40'-10"
DCi
29'—B"
44'-11 "
UC2
31'-11"
1 47'-0"
NEIGHBORINC SEPTIC
IS > 30' FR M
PROPERTY LINE. NO
WELL ON PROPERTY
m
CD
THERE ARE
WITHIN 50'
TANK.
MT
SHED
SHED
M
MT EXISTING
--16' x 31' BED
DOUBLE
CLEANOUTS
'zz' 1250 GALLON
TMTo ,S; PLASTIC SEPTIC
t IsI
ee TANK
6' 1
R l
DECK SUPPORT
J'BM
rECO -- < 30" HEIGHT
B DECK
I
T/ 11H
I
I
I
GRAVEL j
JO STEEP SLOPES DRIVEWA4 I /
F THE PROPOSED C /
�l
1 1.
� 100'
rr
SCOPE OF WORK
1. EXISTING SEPTIC TANK REMOVED.
2. INSTALLED NEW 1,250 GALLON PLASTIC SEPTIC TANK AND
TIED INTO EXISTING ABSORPTION SYSTEM. THE TANK WAS
PROVIDED WITH 20" 0 MANWAY RISER SERVING THE FIRST
COMPARTMENT. A MONITORING TUBE WAS PLACED NEXT TO
THE TANK. 2" INSULATION WAS PLACED ABOVE THE TANK.
3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL
REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE
CHAPTERS 15.55 AND 15.65.
NEIGHBORING WELL IS
> 100' FROM
PROPERTY LINE.
NEIGHBORING SEPTIC
IS > 30' FEET FROM
PROPERTY LINE
w
m
O
Tank Replocement As RuIlt Prepared for •����
. W* �
Kerry Jones .•�P�� OF95�00
#
19115 Monastery Eagle River, Alaska 99577 ��''� 0
AF r� 49 TH �`•,' 1`
BIRCHWOOD SOUTH BLOCK 1 LOT 4A , . ..��, € 0
OSP191203i
y
0 I�
0 ........... ...........................0
EKLUTNA ENGINEERING, LLC DATE: 112012020� :,CURTIS TOWNSEND
0 ) = No. F 11904 r
19162 MOUNTAIN ROAD DRAWN: CLT �j�. �� 1w
CHUGIAK, ALASKA 99567
(907) 355-9820 SCALE: 1" = 30' X4401 Pq
PID: 051_ 294_ 30 SHEET 1 OF 2 �al�
z�
z z
w w
Q 0 Q Q m m
w w
Z Q U U Q ~ ~
w W
O Y O O
1. A TEST HOLE WAS DUG JUNE 2019, 8' AWAY FROM EXISTING STEEL TANK. WATER DEPTH WAS 44" BELOW
GRADE. THE SEASONAL GROUNDWATER DEPTH WILL BE 32" BELOW GRADE.
2. THE SEASONAL HEIGHT OF THE GROUNDWATER WILL CAUSE THE TANK TO BE SUBMERGED BY 59". THIS
PROVIDES A BUOYANCY VOLUME OF 272 CUBIC FEET. [(78" X 59")/144 * 8.5']
3. WATER WEIGHS 62 POUNDS PER CUBIC FOOT. THIS WILL CREATE A BUOYANCY FORCE OF ^17,000 POUNDS
(272 * 62)
4. THE TANK WAS BURIED A MINIMUM OF 2.5'. THE WEIGHT OF SOIL IS AT MOST 100 POUNDS/CUBIC FOOT. THE
WEIGHT OF THE SOIL WILL BE ABOUT 13,800 POUNDS [(8.5' X 78"/12") * 2.5' DEPTH * 100 LBS/CF] ON
TOP OF THE TANK. 3,200 [17,000 - 13,80D] POUNDS OF EXTRA BALLAST ARE REQUIRED.
5. (4) 24" CROSS -PLATE DEADMAN ANCHORS, TWO ON EACH SIDE OF TANK, WERE PLACED. THESE PROVIDE AN
UPLIFT RESISTANCE OF 18,000 LBS EACH. TOTAL UPLIFT RESISTANCE PROVIDED BY THE ANCHORS IS 72,000
LBS.
Tank Replacement As Built Prepared for
Kerry Jones
19115 Monastery Eagle River, Alaska 99577
BIRCHWOOD SOUTH BLOCK 1 LOT 4A
EKLUTNA ENGINEERING, LLC I DATE:
19162 MOUNTAIN ROAD
CHUGIAK, ALASKA 99567
(907) 355-9820
DRAWN:
OSP191203
iP??Z47PZGVol
GILT
SCALE: 1" = 5'
PID: 051-294-30 SHEET 2 OF 2
TRACT
BIRCHWOOD SUBDI VISION
SO/TA LOT 4A
BL O[K /
PLAT 83- 420
�
�
DECK
SAUNA j
a� FRAM[ 6
�| HOUSE
Au
v` 89500" W /vvvu/
MONASTERY DRIVE
an olnwr
L
ENDER
R�yE�� & MAPPING�=��2890oBARwmRDmR,mASIuA, AK M54 o
I&
Tw
NOTES
1. DIMENSIONS ARE RECORD PER
PLAT 83-420
2. U7lUllES OTHER THAN THOSE
SHOWN MAY EXIST.
3. THIS SURVEY DOES NOT
CONSTITUTE BOUNDARY
SURVEY AND IS SUBJECT TO
ANY INACCURACIES THAT
SUBSEQUENT BOUNDARY
SURVEY MAY DISCLOSE.
UNDER NO CIRCUMSTANCES
SHOULD ANY DATA SHOWN BE
USED TO ESTABLISH ANY
FENCE, STRUCTURE OR ANY
OTHER IMPROVEMENTS.
4. ALL VISIBLE ABOVE GROUND
FEATURES OF THE EXISTING
SEPTIC SYSTEM WERE
LOCATED AT THE TIME OF
SURVEY AND SHOWN HERE
ON
c� '
LEGEND
= LJ 0NNDREBAR
211 SEPTIC VENT
I.~��
TELEPHONE PEDASTAL
| HEREBY CERTIFY THAT HAVE PERFORMED
A SURVEY OF
0T 4A, BLOCK 1. BIRCHWOOD SOUTH
SUBDIVISION, PLAT NO. 83-420,
ANCHORAGE RECORDING DISTRICT, ALASKA,
AND THAT THE IMPROVEMENTS AS DEPICTED
HEREON EXIST AS SHOWN IN RELATION TO
THE PROPERTYUN[S. EASEMENTS OF
RECORD OTHER THAN THOSE SHOWN ON
RECORDED PLAT No. 83-420 ARE NOT
SHOWN HEREON UNLESS OTHERWISE NOTED'
DATE: 1/19/2020 FB: 201812019
GRID: NW754 DRAWN: MR
GRAVEL
H
STORY
FIREPLACE
CANTILEVER
HOUSE
//\-CONCRETE
WALK
�
15 /uLE�k/&
ELEC. EASEMENT
Au
v` 89500" W /vvvu/
MONASTERY DRIVE
an olnwr
L
ENDER
R�yE�� & MAPPING�=��2890oBARwmRDmR,mASIuA, AK M54 o
I&
Tw
NOTES
1. DIMENSIONS ARE RECORD PER
PLAT 83-420
2. U7lUllES OTHER THAN THOSE
SHOWN MAY EXIST.
3. THIS SURVEY DOES NOT
CONSTITUTE BOUNDARY
SURVEY AND IS SUBJECT TO
ANY INACCURACIES THAT
SUBSEQUENT BOUNDARY
SURVEY MAY DISCLOSE.
UNDER NO CIRCUMSTANCES
SHOULD ANY DATA SHOWN BE
USED TO ESTABLISH ANY
FENCE, STRUCTURE OR ANY
OTHER IMPROVEMENTS.
4. ALL VISIBLE ABOVE GROUND
FEATURES OF THE EXISTING
SEPTIC SYSTEM WERE
LOCATED AT THE TIME OF
SURVEY AND SHOWN HERE
ON
c� '
LEGEND
= LJ 0NNDREBAR
211 SEPTIC VENT
I.~��
TELEPHONE PEDASTAL
| HEREBY CERTIFY THAT HAVE PERFORMED
A SURVEY OF
0T 4A, BLOCK 1. BIRCHWOOD SOUTH
SUBDIVISION, PLAT NO. 83-420,
ANCHORAGE RECORDING DISTRICT, ALASKA,
AND THAT THE IMPROVEMENTS AS DEPICTED
HEREON EXIST AS SHOWN IN RELATION TO
THE PROPERTYUN[S. EASEMENTS OF
RECORD OTHER THAN THOSE SHOWN ON
RECORDED PLAT No. 83-420 ARE NOT
SHOWN HEREON UNLESS OTHERWISE NOTED'
DATE: 1/19/2020 FB: 201812019
GRID: NW754 DRAWN: MR
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http:ltwww,muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP191203
Work Type: SepticTank Upgrade
Tax Code Number: 05129430000
Site Legal Address: BIRCHWOOD SOUTH BLK 1 LT 4A G:0754
Site Mailing Address: 19115 MONASTERY DR, Eagle River
Owner: JONES K C & GWYNETH L
Design Engineer: EKLUTNA ENGINEERING, LLC*
This permit is for the construction of:
❑ Disposal Field R1 Septic Tank ❑ Holding Tank ❑ Privy
Effective nate:
Expiration Date:
Lot Size in Sq Ft
Total Bedrooms
Department
8/16/2019
8/15/2020
52800
❑ Private Well ❑ Water Storage
Ali construction shall 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 shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received Bs
Issued By:
j
�// Date:
Date: 9-';
3
S
MUNICIPALITY CSF ANCHORAGE
r�
;-Awe
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-294-30
Property owner(s) Kerry Jones
Mailing address 19115 Monastery Drive Chugiak AK 99567
Site address SAME
Day phone907.240.4693
Legal description (Sub'd., Block & Lot) BIRCHWOOD SOUTH BLOCK 1 LOT 4A
Legal description (Township; Range & Section)
Lot Size 52,800 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑ Initial ❑
Single Family (SF)
(w/wo ADU)
Septic Tank 0 Upgrade
Duplex (D) ❑
Holding Tank ❑ Renewal ❑
Multiple Dwellings ❑
Privy ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
�s
(Signature of roperty owner or author' ed ag nt)
Permit/Rush Fees: 62 ai S Waiver Fees:
Date of Payment: J LgetL l!9 Date of Payment:
Receipt Number: Receipt Number:
'
Permit No. 05 P/q/;W13_ Waiver No.
GADevelopment Services\Build'ing Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191203, Rebecca Carroll, 08/16/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191203, Rebecca Carroll, 08/16/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191203, Rebecca Carroll, 08/16/19
TRACT A
S 89°50'00" E 165.
BIRCH WOOD SOUTH
SUBDI VISION
LOT 4A
BLOCK 1 ; S"
PLAT B3-420
%s'
%SAUNA DECKQ
— I-
L2ND
STORY
FIREPLACE
CANTILEVER
FRAME o
HOUSE
w
15' —T& E EASEMENT —I --
(N 89'50'00" W 165.00')
MONASTERY DRIVE
60' RIGHT-OF-WAY
L//\\ C N DER
SURVEY & MAPPING O
2890 S. BARNYARD OR., WASILLA, AK 99654
DAYNA RUMFELT (907)301-5177
0
NOTES
1. DIMENSIONS ARE RECORD PER PLAT
83-420.
2. UTILITIES OTHER THAN THOSE SHOWN
MAY EXIST.
3. THIS SURVEY DOES NOT CONSTITUTE A
BOUNDARY SURVEY AND IS SUBJECT
TO ANY INACCURACIES THAT A
SUBSEQUENT BOUNDARY SURVEY MAY
DISCLOSE. UNDER NO CIRCUMSTANCES
SHOULD ANY DATA SHOWN BE USED
TO ESTABLISH ANY FENCE, STRUCTURE
OR ANY OTHER IMPROVEMENTS.
4. ALL VISIBLE ABOVE GROUND FEATURES
OF THE EXISTING SEPTIC SYSTEM WERE
LOCATED AT THE TIME OF SURVEY AND
SHOWN HERE ON.
LEGEND
ro
0
GRAVEL /
OJ ;S;
DRIVEWAY/
<WJ
WELL
TELEPHONE PEDASTAL
WELL(O
HOUSE
11
/
//
ONCRETE
WALK
— I-
L2ND
STORY
FIREPLACE
CANTILEVER
FRAME o
HOUSE
w
15' —T& E EASEMENT —I --
(N 89'50'00" W 165.00')
MONASTERY DRIVE
60' RIGHT-OF-WAY
L//\\ C N DER
SURVEY & MAPPING O
2890 S. BARNYARD OR., WASILLA, AK 99654
DAYNA RUMFELT (907)301-5177
0
NOTES
1. DIMENSIONS ARE RECORD PER PLAT
83-420.
2. UTILITIES OTHER THAN THOSE SHOWN
MAY EXIST.
3. THIS SURVEY DOES NOT CONSTITUTE A
BOUNDARY SURVEY AND IS SUBJECT
TO ANY INACCURACIES THAT A
SUBSEQUENT BOUNDARY SURVEY MAY
DISCLOSE. UNDER NO CIRCUMSTANCES
SHOULD ANY DATA SHOWN BE USED
TO ESTABLISH ANY FENCE, STRUCTURE
OR ANY OTHER IMPROVEMENTS.
4. ALL VISIBLE ABOVE GROUND FEATURES
OF THE EXISTING SEPTIC SYSTEM WERE
LOCATED AT THE TIME OF SURVEY AND
SHOWN HERE ON.
LEGEND
ro
0
FOUND REBAR
OJ ;S;
SEPTIC VENT
<WJ
WELL
TELEPHONE PEDASTAL
OCO
RV DUMP/CLEAN OUT
� k
OF Al.,qkkkko#
c.--
4 9 TH * r�
13N-
����lFq�®p,� 71��Og��i
ll( '��fESSpNA��a �
ASBUILT - NO CORNERS SET THIS DATE
I HEREBY CERTIFY THAT I HAVE PERFORMED
A SURVEY OF
LOT 4A, BLOCK 1, BIRCHWOOD SOUTH
SUBDIVISION, PLAT NO. 83-420,
ANCHORAGE RECORDING DISTRICT, ALASKA,
AND THAT THE IMPROVEMENTS AS DEPICTED
HEREON EXIST AS SHOWN IN RELATION TO
THE PROPERTY LINES. EASEMENTS OF
RECORD OTHER THAN THOSE SHOWN ON
RECORDED PLAT No. 83-420 ARE NOT
SHOWN HEREON UNLESS OTHERWISE NOTED.
' DATE: 5/16/2019 I FB: 201812019 I
GRID: NW754 I DRAWN: DMR
SCALE 1" = 50' ' SCALE: 1" = 50' I FILE: 19-017AB
MUNICIPALITY( OF ANCHORAGE
Development Services Department77 Phone: 907.343-7904
On -Site Water & Wastewater Section n Fax: 907-343-7997
Septic System Owner -installer Agreement
The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner
to perform work on an on-site wastewater disposal system to serve that individual's owner -
occupied, single-family or duplex home if the homeowner meets and agrees to the following
requirements:
1. The property owner and excavation equipment operator may perform work on no more
than one owner -installation project in a 12 -month period.
2. Owner's projected active involvement with the installation:
1 X i 3 �-" :5 7`i- C �, t4-77 %
�_44 `w, AV&," S (",) --�,t 0,0 i- ef.1 �,., It C' 7� �t� � � � 4,z-75_,-,_,
3. The name of the excavation equipment operator:
4. 1 agree that there will be no monetary compensation for installation services rendered.
5. The name of the inspecting engineer:
6. 1 agree to discuss the following items with the inspecting engineer:
a. Permit design criteria and specifications.
b. Inspection requirements set forth in AMC 15.65.070.
c. Advance notice given to the On-site Water & Wastewater Section for all required
municipal inspections (AMC 15.65.070A).
7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available
at the construction site for the duration of all related work.
8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), i will
obtain additional installation instructions and approval from the equipment distributor.
As owner of (legal description) 0 2
T��
I agree that the information above is true and accurate.
Owner's printed name:
Owner's signature: L' R Date: �. h
Mailing Address: P. O. Box 196660 * Anchorage, Alaska 99519-6650 * www.muni.org
F MUNICIPALITY OF ANCHORAGE
/~"~, ~b'~-~ 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
NAM F¢~.~
[] UPGRADE
LI NG ADDRESS
LOCATION NO. OF BEDROOMS
DISTANCE TO: IWell ~r ~ I Abs°rpti~a~a~ Dwelling~zT/ PER~T ~O.~m
~ Manufactur~ ~ Mater~,~ No. ofco~tments
Uq. ?~n gallons IF HOME.DE: Inside Width Liquid depth
~ ~ DISTANCE TO: Well Dwelling PERMIT NO,
O Z ~ Manufacturer Material Liquid capacity in gallons
~ Welp~ Foundation~.~ Neares~ot line PER~~
~ DISTANCE TO: I~
~ ~ Z lines
~ ~ ~ j Top ~ tile to~inLsh grade ' -- , Mate~ia~ beneath tile '~. ~),6H Total e rp~rea~
~h Width '~' ~?,~, Depth '" PERMIT NO.
~ .
< ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank area(s)
Absorption
DISTANCE
TO:
OTHER
REMARKS ~; ~ G~ 3' ~ ~
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
I~1t fLJI INI ]E C.T, ][ ~[~ IL.....'1.~ "T" "',"' C} IF.;' ~:'.t ~,J? C:: I1- IF::;:'.
][)IE".PARTMEIqT OP" HE~I....'I"H AND ENVIRONME!;NTAL. PROTE:.CTIOr,.I
8~ L STRE."E:.'T. ~NCHORAGE, ~-..fi .... 995(}.1.
2 6 4 .~.. 4 '7 2. (.':.)
Ct Ih,~ ......... ,.r.~!.~; ][ "tl'~' EE .".!E; IE.] Ibql EE:: F:'. IF:f` E:: F~.". I1',,11 ][ '"IF'
I::'E R M I T Iq 0:
D A"I'E .I S S U E D:
~..! 4 () 936
1 .t. / () 3 ! 84
A F:' P L. I C A N'T' ::
ADDRESS:
(:::[)N"I"Af.:"I" I::'HONE:
[..lii'::GAI... DESCR I F' .".
L(] T S I Z E:
MAX BEDROOHS:
C]/O GIi.:.:OI....A][.~ ROBI::ZR]" ROSS
:L 13 J. E:.' '76'1"H
ANCHORAGE':, AK 99502
3 4 4-.. Ii!! 0 4 2
SUBDIVISION: BIIRCHWOOD S(]UTH
SECTION: 30 TOWNSHIF': :[5N
54450 (SC!. F"T. OR ACRE!-])
L. OT: 4A BL. OCK: 1.
F;,'ANGE: 1W
I..isted be].(::)w ape the apti(:)r)s ava:i, lab].e 't.(:) yc)u :i.n des:i, gn:i. ng your' Sel:)t':Lc
sys't, em [:lnoose 't.~'~
, ,t~. Ol:)'L:i.c~n tha'L best {its yt:]LtP site,,
DEF:"TI-I 'TO PIPE BO'I'TOM (F'T',,)
GRAVEl_ DEF:'TH (I"-'T.)
TOTAL.. DE:F'TH (FT,)
GF;;AVEL. WIDTH (1:"1".)
GRAVEl... I..ENG'TH (F:'T.)
GRAVE:I .... VOLLIME (I]U, YDS. )
TANK SIZE (GAL. S)
SI) I L. RA'I" I NG (SC!. F'I~. /BR)
C;. 5 '~,"~'
() ,, 5
:1. ,, 0
14 ,, ()
:L/.1.. 6
1,0()().0 *~-
'~.-~ DEF:'TH 'T'O F'IF'E BOTTOM < 2,,() F:'T,, RE:QLJIRES AD][)I'I"IONAI .... GROLJND C[]VER
'~"~ DEt::'TI"~ TO F:'IF'I:"~. BO]"]:OM < 3,5 FT'. I:~EQUIIRES II'JSLJL. ATIEH',t
.~'~ DEP'TH '1"0 F'IF:'E BOTTOM < 4.0 FT. MAY REQUIRE A L. tFT STATION
· ~'.~"r'ANK MUST HAVE AT I~..E"AST TWO C;OMPAIRTMEI'.JTS
(::erti{y t. hat:
1. I am {'amil:i. ar with the r'ecluil~ements {'cji~ c)n..'..site sewer'~i and ~e].].s as set
~ort. h by 't. he Mun:lcipal:Lty o~ Anch(~r'age (MOA) and t,l"~e State c:)F. Alasl,::a,,
2,, ]'. will :i. nst..al], the sys'Lem in accc)r'dance wi't.h all MOA (::ades and r'egulat:i.c~ns,
ar'id in caml:)liance witln the des:i, gn c~iter':La (:)~' tl-~:i.s i:)er'.mit.
3,, I w:i. ll adher'e 't.a a].l MOA and State (:f Alasl.::a r'equ:L~-emer~ts f'(:)r' the se't. back
dj. statices ~'l~(:)m any existing wel].~ ~astewatep disposal system (:}r' public
sewer'age system an this (:r' any adjac,ent c)r near'by lc)t,,
4. I under's'Lar'~d that 'LhJ. s per'mit :Ls valid ~'oP a maximum c:)i' 3 bedr'ooa'~s arid
any en].ar'gement ~.~:i.:1.1 r'equir'e an addit~c:r~a], per'mit.
IF: A LIF:"I" STA'I"I[]hl IS INSTAI...L.E:D IN AN AREA C[)VERED BY MOA BUILDIbIG [lODES,
'I"HEN (1) AN ELEC'I"RICAL. F:'ERMIT AND INSF'ECTION MUST BE OBTAINE'D; (2) AS-BUIL. TS
WIL. I .... I',10'1" BE AF'F:'ROVED WITHOLFF AN I:i:L. ECTRICAL. INSF'E".'CTION RIEI:::'ORT; AND (.3) 'T'HE!:
S I [-)NF::][) (_ ,.~A I I~::.
APF-"L. ICANT: Ci/E~ GF'.~.AB ROBERT
/1
· ,:,, ..... , /
.1 .:,.::, ,1:... ~ BY ~ (.~,~ ~__~-
& EHGINEERS, INC.
s
7125 OLD SEWARD HIGHWAY
ANO]ORAGE, ALASKA 99502
(907) 349.6561
PEHrORMEI) FOb
SOIL LOG
PERCOLATION
V~PEflCO[ A~ ION lES]
TEST
~: [~FDROOM!,
5
6 -
7 -
8 -
9 -
10-
11-
12-
13-
14-
15-
16-
17-
18--
19-
20-
DEPTH
(FEET)
SLOPE SITE PLAN
w E
WAS GROUND WATER ~ / ~_ S
ENCOUNTERED? ~ _ L
O
P
E
IF YES, AT WHAT 5/'0'
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
":' ' PERCOLATION RATE
TEST RUN BETWEEN ~' ~' -- FT AND. t' ~) FT
~ I~__ ~___~~~ ...........
DATE:_ ..
[] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR:
DATE PERFORMED: 7//~/~"~
LEGAL DESCRIPTION:
1
4
5
6
7
8
9-
10-
11-
12
13
14
15
16
17
18
19
20
SLOPE
SITE PLAN
WAS GROUND WATER S
ENCOUNTERED? /~Z'~ OL
~-~<-~.~ P
E
IF YES, AT WHAT'
Gross Net Depth to Net
Reading Date Time : i.?~.~,~... Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND ~ FT
COMMENTS
PERFORMED BY:
72-008 (6/79)