HomeMy WebLinkAboutBRUIN PARK BLK 4 LT 6
.~,.~) Municipality of Anchorage Page I of ~:~
~,, ~,"~%' DEPARTMENT OF HEALTH AND HUMAN SERVICES
:~,,,Ck-,'~"' ~%~ ~t ~NVIRONMENTAL SERVICES DIVISION
~ ~ ~~~0 ' An?orage, Alaska 99519-6650 · Telephone:.343-4744
. ~-Si,~stewater D~sposal System and/or Well Inspectmn Report
Perm~~r:..~, ~W ~ 30~7~ PID Number: ~ ~ I0 ~O ~
N,m,:~' ~ ~. ~0 . Wastewater System' ~ New D Upgrade
~ ~T P~. ~¢~0~ k~ ~16 ABSORPTION FIELD
No..of Bedrooms:
Phone: ~'~G~ +~ (~ ~DeepTrench Q Shallow Trench UBed ~Mound QOther
LEGAL DESCRIPTION so, Rating: -- Total Depth from original grade:
I, ~ ~,~/s,. ~L IO ~..
Lot: ~ Block: ~ ~ Subdivision:~~ Depth to pipe bottom from~original grade: Ft. Gravel depth ben~ath~ pipe Ft.
Tow~:~ IRange:~ ~ ISectiOn: ~O -- Fill added above original grade:~ . ~,~ Ft. Gravellength: ' ~ Ft.
WE LL: ~ New D Upg rede Gravel width: Number of lines: ]Distance between lines:
~ ~t. ~0 I ~0 ~.
Cla~licalion (Private, A.B,C): Total Depth: Cased To: Total absorption area: Pipe material:
~ie~d:Driller:~~ ~ L~ Date~ ]~Drilled: Static ~Wster Level:Ft.Installer~ ~ ~ r' Date I o~oinstalled:'
] Pump Set at: Casing Height Above Ground:
/O ~,M] ~Z.~ ~"1 Z,E ~. TANK
SEPARATION DISTANCES ~s~p~ ~ Ho~d~.~ ~
To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field S,ation_.._ )Tank SewerLines ~~~ ~K [9~
N/~/ Nu~r o~ Co~p,r~.,t~:
Well ) 16 II ~Z , .J 00+ Material:~E~ ~ 0
Surface
Water ~0~ " ~ F0~ ~ LIFT STATION
Lot ~ Size in gallons:la
Line ~J /~ ,,~ump on,, level Jr:
//
Curtain Drain .Alta., X P~ I Electrical 'nspecti°ns perf°rmeO bY: ~
Remarks: ~~-~ ~[~[~ ~&~a BENCH MARK
~O ~~~ ~ ~O~ ~ ~1~ ~ ~[[~ Location and Description:~o~ ~ ~ ~ ~J" ~~
,.va,on:
lb0 ~l,
Inspections performed by: ~L~ ~q~F I~. ~E, Dates: 1st to~Ot[q~~~~~~~' ,-;--
Department of Hea~~um n "'--- ~"~q~~~~
Reviewed and approved by: Z'~.0' ~~a Ser.,ueSDate:approval/o./9.~ ',~~;----
72-013 (Rev. 9/91) MOA 25
Permit No.
~J~ ~,o ~ ~ Page ~- o! ~
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
LegalDescription: L (o ~,4 ~:~tlll'~ ~l Tl~kl ~]~'~ q'~-O PIDNo.: 01~010~0~)
\~o~
/
./,
a.o~, \
72-013 A (2/91) MOA 25
Permit No. ~ t)J c~,O ~TZ
Page -~) of ,.~
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: /---G I~ 13RbUIO 'P/,~P.K, ~l TI]g R3~J 5'[O PID No.: 0((;,IO2-05
72-013 A (2/gl) MOA 25
., '02716/lgg3 '86:48 g073383865
PAGE 81
STATE OF ALASKA
DEPARTMENT O1~ RATURAL RESOURCES
DIVISION. OF WATER
LOCATION OF WELL WATER WELL RECORD
I I I ;" I III ,,., II II . ,.--'~:",' ' , .......
IIOflOUQH eUBDNIION LOT ~I.OCK MOTION QTRll IE~TION TO~IP ~GE MERIDI~
II ...... II ..... II ~' IPll I ......
LOCATIONISK~CH= WELL O~ER= ~ m ~ ~ O~
III "' .~, . - ll~ I I I .... ,., ,.~ : ..... '.
DEPTH8 M~SURED FROM:~c~IBg top ~grOund su~ace WELL DE.H: DATE OF COMPL~ION
' ' ...... Depth of hole: / ~ ·
BO~EHOLE DA~A; Depth Depth of =aslng: / ~ ft
Materiel Ty~e and Color From To
DEPTH TO STATIC WATER LWEL:
M~HOD OF DRILLIN~ ~ ~i~ mt~
USE OF ~LL: ~ domestic ~ irrigation ~ monitor
CA~ING 8TtOK-UR~ ~ ft, Oiam:
~LL ~TAKE OPTING TYPE: ~ open end ~ screened
8CRE~ TYPE:- Diem: In,
.... 51o~esh Sizm: ., Length: ,, ,
G~VEL PACK TYPE;
---, .... Volume u~ed; Depth to top:
GROUT TYPEt Volume:
., Depth: from ft to ft
PUMPING LWEL AND YIELD:
~ ft after ~ hfs pumping /O gpm
PUMP INTAKE DEPTH: ft Horsepower:
, ,.., , ,,,, W~L DISINFECTED UPON COMPL~ION1 ~ YES ~ NO
CONTRACTOR INFORMATION: REMARKS:
.eO;stered B~isl~eSs Name _ " - -
· ~Jignatu;e-~__~l'mTIzed ~s~resentail~ .... bate '
PLEASE MAIL WHITE COPY OF LOG TO:
DNRIDIVISlON OF WATER
PO BOX 772116
EAGLE RIVER AK 99577.2116
CT&KRef.#
121i ent Samp lo ID
Matrix
ClientName
Ordered lily
Project Name
Project//
PWSID
Commercial Testing & Engineering Co.
Environmental LaboratOry Servlcem ~~ra,ll~,~,~,~.~,,~,lJ,J,~a~'~J~e'J"l~'~'
LABORATORY ANALYSIS REPORT
94.465%1
L6 B4 BKUIN PARK #1
WATER.
'WORK Otd~r 82154
A.W. MUI~;I'I'FCt). QqC, Printed Daic 09/16/94 ('~ 08'.31 hrs.
ALLAN MUPd,TiT CollectadDate 1.19/12/94 (~ 11:15 hrs.
Received Date 09/12/94 (.~. 12:30 lus,
R~l~ttsed I') y '.
S'I'EPHgN t,. I.,%)E
Smnple Remarks: ROtlF['IN ~', SAMPLE COLLECTgD BY: A, ~~ P.l~.
Allowabl~ I~xt. A~ml
QC Limits Date Date h~it
Results Qttt~ I.)tfit~ Me,md
l'm'muctct 09114194 CM.Ik
0,10 t.I mg~ EPA 353.2/300,0 I0
Nitrate-lq
....... _-. ...... '"":==:'= ....... UA= U~mv ailabic
* See Speoitd In~truc.tim~s Above 14A= Not Analyzed
** See Sample Remarks Above LT= I ~.qs qhan
I! = lh~&tc~te¢l, Report.cd vahz is the pntotical emitifi cation limit. OI,, (floater
i;~ D = 8econdarY dilution.
· 561 -~301
,- 5633 B Street. Anohorage, AK 99511t.1500 Tek {907) 682.2348 Fax; (907)
...... ' .................... MARYLAND, NEW JERSF-Y. 0~10, UIAH. WEST VIRGINIA
LASKA.
E~QIRONMENTAL I::AClLI~'~ COLORADO, FLORIDA, ILLINOIS,
COMMERCIAL TESTING &: ENGINEERING CO.
5N VlRO ;,; M F. NTAt.. LA--30RA~YO P,Y
,~o, Totzl Coltrorm Bacteria
J.,j
~..:...h ff LE D.-'. ,TE:
Routine
Specied
,, i'e-iITi- !!'1t?]
~IonthDay Year
Repeat Sample (for routine ~ple
wlth lab ret. no, __ )
5.~,EP LE LOCA. TION
Treated Water
Untreated Water
TO BE CON?LETED BY t '~=: rr~:~ v
~ Sa~g~cto~'
n,:t be ovar 4g ~our~ dd ~t
.-t~alytic.q N[e:hod: ,N-.~'.~'fem':r.:.?.·. 0 :,--~ iO',',;~-
' Number Ofcolo~d.e~;/lO0 ml,
L~b R~f Nn Result*
Clier~ ootified of uasatlsfactoo' results:
Phoned Spoke
Tim,:
BACTERJ[oLo GICA_L WATER ,MN.~LYSIS Prig. CO,U3
;",'f>IO-h'f'UG R~sul*.: Total Colirom
blembrun: Filter: Direct Couo! "~
Verification: LTB
BGB
E, Coil
C 0 LIIq:R=M.
Fecal Collfom Cmaflrmado~
Colo~.l.~/100 mi
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:SW930372
DESIGN ENGINEER:A.W. MURFITT COMPANY, INC.
OWNER NAME:SCHRUF ESTHER L
OWNER ADDRESS:ill01 FOREST DR
ANCHORAGE, AK 99504
DATE ISSUED: 9/16/93
EXPIRATION DATE: 9/16/94
PARCEL ID:01610203
LEGAL DESCRIPTION: BRUIN PARK BLK 4 LT 6
LOT SIZE: 20000 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT:
3
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 (iSAACS0).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
ISSUED BY: ~ 7x-~l. '
A.W. Murfitt Comp_any_
CONSULTING ENGINEERS & TESTING
13810 Venus Way · Anchorage, Alaska 99515 · Telephone (907) 345-2737 · FAX (907) 345-3264
Municipality of Anchorage
Department of Health and Human Services
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
September 13, 1993
ATTENTION: Mr. Robert Robinson
Civil Engineer
On Site Services
RE:
Well/Septic Permit Request
Lot 6, Block 4, Bruin Park Subdivision #1
Anchorage, Alaska
Our Job 93-241.01
Dear Mr. Robinson:
Pursuant to our recent discussions, this letter is a request for on site well and septic system
permit approval on the referenced property. Design documentation (percolation tests, site
plans and septic system design sections) have been submitted to your office for this
purpose. Based on our review and testing we do not foresee any adverse effects on the
surrounding proper[ies by the installation of this system. In this regard, we have revised the
site plan for this submittal.
Yours truly,
A.W,..Murfitt Compa.~ny , / .
Civil Engineer 4977-E
RECEIVED
8EP 1 4 1993
Mu~cq:,~,~y ~i/~chorage
Dept. Health & Human Services
ATTACHMENT: Revised Site Plan, Page 3 of 3.
A. W. MURFITT COMPANY
Consulting Engineers & Testing
13810 Venus Way
ANCHORAGE, ALASKA 99515
(907) ~ ~--~-2_~3~.
SHEET NO. '~)
CHECKED BY.
L fo $4- ~u~o
o, ~
DATE
SCALE
PHO~OC T ~.1 (Si~l ¢, Groin, M,~ss 0~4 TI. To Or~ter PHONE TOLL F~REE t800-225.6380
A. W. MURFI~r COMPANY
Consulting Engineers & Testing
:].3810 Venus Way
ANCHORAGE, ALASKA 99515
(907) ~ ~-2_'-[~.
SHEET NO. '~
CHECKED BY,
DATE
SCALE
~ ~' O~ 4~..r~t,, IENGINEER'SSEAL) ,
Municipality of Anchoraue ~'~.., ~;~:~-~- 'l . ? ~
DEPARTMENT OF HEALTH & HUMAN S~1~%-,~'-~~'~ ], '~ ~
82 .... ' ' ' ' ' ~- ~ '* ' '
PIT~ I ' SLOPE SITE PLAN ' -
1
2
3
4
5
8
7
8
g
10
11
12
13
14
15
16
16
19
20
Depth lo Water After
Monitoring? ~Oh}~
WAS GROUND WATER
ENCOUNTERED?
DEPTH7
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RAIE _~° ~ (minutes/inch) PERC HOLE DIAMETER
TEST.UN BETWEEN ~ 5 FT AND .. ~'. o FT
ACCORDANCE WI1 H ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-~8 (Rev. 4t85} ,
CERTIFY THAT THIS TEST WAS PERFORMED IN
r~ATE: ~E II~lqO~
Munlclp~lily of Anchorage ~' *~ ~ c~ .... '~?~ I ~"~?.
825 "L" Street, Anchorage, Alaska 005~~~~
sO Ls -- , .COL,nO. I
DEPARTMENT OF HEALTtTI & HUMAN
(ENGINEER*S SEAL)
LEGAL DESCRIPTION:
g
·
12 e e e
15
16
~8 I"
~9 D~q .
20-
PERFORMED BY:
SLOPE SITE PLAN
WAS GROUNDWATER
ENCOUNTERED?
$
IF YES, AT WHAT :~ '0L
DEPTH? , p
E
Monitoring? k)O Id ~. Bite:
Reading Date Gross Net Depth to Net
Time Time Water Drop
~ ¢,!zlqx ~'.z1¢~ o cz'~~ 0
PERCOLATION RATE Z.. ( tminutem'lnch) PERC HOLE DIAMETER
TEST nUN ~ETWEEN ..5',~ FT AND .._(m_~2_FZ
DATE:
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE,
CERTIFY THAT THIS TEST WAS PERFORMED IN
72-008 (Rev. 4~85J
FERRO DESIGNS
8012 E4th. "A"
Anchorage, Ak. 99504
Ph. (907)338-3865
August 24, 1993
To: MOA; Dept, of Health & Human Services
In addition to my application for a well and septic permit I am submitting
this request for your approval to install my own septic system.
I own a "Case $40D Backhoe-Loader", and have been operating it for the last
5 years.
In this time, in Anchorage and on the Kenia Peninsula, I have done numerous
foundations for new construction as well as remodels, and French drains. I
have installed holding tanks and complete septic systems on the Peninsula,
This in addition to many smaller projects from driveway repair to
Landscaping.
I intend to work very closely with my engineer Alan W. Murfitt P.E, who has
done the Per¢ test and system design that I am submitting for my permits.
Thank. You Very Much,