HomeMy WebLinkAboutSTODILL LT 1Onsite File
Stodill
Lot 1
#051-302-39
There are two wells on this lot – both in
service as of 2021.
Only the septic tank is sized for 4-
bedrooms; field is sized for 3 bedrooms.
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://www.muni.orgfonsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP221072
Work Type: SepticTank Upgrade
Tax Code Number: 05134239000
Site Legal Address: STODILL LT 1 G:0654
Site Mailing Address: 15314 DARBY RD, Eagle River
Owner: RAY BRADLEY & DENISE
Design Engineer: NORTH RIM ENGINEERING
This permit is for the construction of:
Effective Date
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
�nzcnt S
1a
_Pwn
II
1)ehartmc�tt
4/8/2022
4/8/2023
49564
❑ Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All 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
Special Provisions: Contractor shall confirm existing foundation cleanout or provide a double cleanout
upstream the septic tank.
Received By:
Issued By:
Date: /,.a.
Date: LFa d '�
4
MUNICIPALITY OF ANCHORAGE
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. 051-302-39
Property owner(s) RAY BRADLEY Day phone 310-9075
Mailing address 15314 Darby Rd
Site address same
Legal description (Sub'd., Block & Lot) STODILL LT 1
Legal description (Township, Range & Section)
Lot Size 49,564 Sq. Ft. Number of Bedrooms.z
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) 0
(w/wo AD U)
Septic Tank
0
Upgrade ❑ X
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.
(Signature of property owner or authorized agent)
Permit/Rush Fees: -Z —
Date of Payment: -1116 Id 19 a
Receipt Number: 0857 LIQ
Permit No. OS 22 1072
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
+1
�
2TP IM
ENGINEERING
Date: 4/4/22
To: MOA On -Site Services
Subject: Stodill Lot 1
Septic Tank Failure
SteveEng.com
Steve Eng, PE, PH
907-694-7028
SteveEngPE@gmail.com
Number of Pages:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221072, Rebecca Carroll, 04108122
The subject septic tank has failed- a new tank will replace the old one. The existing seepage trench
appears to be working OK. Please issue a permit so the tank can be replaced. Please review as soon
as possible. This is a large lot with no nearby neighbor conflicts. Elevations in vicinity flat.
If there is need for additional information or clarification please give me a call.
C�
Thanks -Ste
TH IM
FE,ZINEERING SteveEng.com
SPECIFICATIONS & DESIGN GUIDELINES
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221072, Rebecca Carroll, 04108122
Stodill L 1
Wastewater System Sizing: The current septic tank has failed- the seepage trench still
functions. This lot is fairly large and on private water well. No adverse impacts are
expected from tank replacement. No easements are present on the lot. The slope is
indicated in the area of the septic system. No conflicts to neighbor properties.
Specification Requirements: All components and work must comply with the
Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water
Regulations and Wastewater Regulations.
• New 2- compartment, 1250 gallon septic tank. Watertight couplings on inlet & outlet.
• 5' minimum between the tank and trench. 5' to property lines & 10' to house.
• 4' of cover or insulation is required for tank; an equivalent of 1 " insulation for F foot
soil cover. Tank & solid pipe must be set on well compacted, stable soil.
• No large rocks for tank bedding. Plastic/fiberglass tanks require special bedding per
MOA- sand or pea gravel.
• 4" diameter cleanouts with airtight caps are required 1 ' to 4' from foundation wall,
prior to any 90 degree bend in 4 inch line, in 2nd tank compartment, and two adjacent
opposing cleanouts between the tank and the absorption field, not more than 10' from
the tank positioned to provide cleanout access towards the tank and towards the
absorption field. Manhole Riser required in 1 st tank compartment.
• All cleanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789,
ABS ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal)
OF 44 44
MCI) JH -7
i�♦ � � Steve Eng �
�, CE -6256 ���
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221072, Rebecca Carroll, 04/08/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221072, Rebecca Carroll, 04/08/22
1i r • �. '`
® DOC CO dba
SILL Be COLE
ULLIVAN WATER WELLS
WAW P.O. Box 670269, Chugiak, AK 99567 688-2755
OWNER OF LAND: Bradley Ray
ADDRESS: 15314 Darby Rd Eagle River, AK 99577
Bore Hole
Data
Depth
From
To
LEGAL DESCRIPTION Stodill Lot 1
DATE: 3-26-21
0
2
PERMIT NUMBER: OSP211035 DATE OF ISSUE: 2-18-21
TAX IDENTIFICATION NUMBER 05130239000
Is well located at approved permit location: ®Yes 0No
Method of Drilling: ®air rotary cable tool
Depth of Well: 520'
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 44 feet
Liner type
Static Water Level: 30 feet
Recovery Rate 75 ® gpm gph
Method of Testing Air
Well Intake Opening Type: ❑ open end ®open hole
Screened Start feet Stopped
Perforations Start feet Stopped
Grout Type: Bentonite Volume: 250 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: ®yes Ono
Method of Disinfection: Chlorine 50 PPM
Comments:
Shallow Bedrock Surface Seal per MOA Code.
2
4
4
10
10
253
253
271
271
362
362
378
378
490
490
509
509
520
Casing Stickup
Overburden
Silty Sand & Gravel
Bedrock Gray Hard
Bedrock Gray w/ Quartz
Bedrock Gray Hard
Bedrock Gray w/ Quartz
Bedrock Green Hard
Bedrock Gray w/ Fractures
Bedrock Green Hard
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
Matsu Borough: Department of Environmental Conservation.
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: SW OSP211035 Date of Issue 2-18-21
Parcel Identification Number: 05130239000
Legal Description Property Owner Name & Address
Stodill Lot 1 Bradley Ray 15314 Darby Rd. Eagle River, AK 99577
Pump Installation Date:
6-8-21
Pump Intake Depth Below Top of Well Casing:
510 feet
Pump manufacturer’s Name:
F&W
Pump Model:
4F05S10301
Pump Size:
1 hp
Pitless Adapter Burial Depth:
10 feet
Pitless Adapter Installer:
Northern Excavating
Disinfected Upon Completion?
yes no
Method of Disinfection:
Chlorine 50 PPM
Comments:
Pitless Manufacturer: Martinson
Pump Installers Name:
Sullivan Water Wells
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
SGS Ref.#
1213390001
Client Name
Sullivan Water Wells
Project Name/#
15314 Darby Dr
Client Sample ID
15314 Darby Dr. Hose Bib
Matrix
Drinking Water
Printed Date/Time
Collected Date/Time
Received Date/Time
Technical Director
06/25/2021 16:12
06/16/2021 14:50
06/17/2021 12:21
Stephen C. Ede
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic 5.77 5.00 ug/L EP200.8 B (<10) 06/21/21 06/24/21 DMM
Waters Department (Provisional Cert for Nitrate—N)
"Total Nitrate/Nitrite-N ND 0.200 mg/L SM21 4500NO3-F C (<10) 06/23/21 EBI -I
Microbiology Laboratory
E. Coli Negative ] 100mL SM21 9223B A 06/17/21 A.A
Total Coliform Negative t I00mL SM21 9223B A 06/17/21 A.A
2of5
02/18/21
f f ij r_ Y •
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. 051-302-39
Property owner(s) Bradley and Denise Ray
Mailing address PO Box 771346
Eagle River, Alaska 99577
Site address 15314 Darby Road Eagle River, Alaska 99577
Legal description (Sub'd., Block & Lot) Stod i I I Lot 1
Legal description (Township, Range & Section)
Lot Size
Day phone 907 310-9075
Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial x❑
Single Family (SF) x❑
Septic Tank
1:1Upgrade
El(w/wo
ADU)
Holding Tank
ElRenewal
1-1Duplex
(D) El
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
x❑
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.
(Signature of I:Vroperty
r or authorized agent)
Permit/Rush Fees: $225 Waiver Fees:
Date of Payment: Alli 7_/902/ Date of Payment:
Receipt Number: 6 �yj 3 b Receipt Number:
Permit No. OSP21 1035 Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
AR BY ROAD -
0
(NOO' 07' 00"W 165.14')
(NOO' 07707WT65. 5')
LEGEND I
NORTH
(XX XX XX) RECORD DATA PER PLAT 80-102
---- SURVEYED LINES —OHE— OVERHEAD ELECTRIC
UNSURVEYED LINES G WELL 0 25 50 75 100
SURVEY TIE 0 SEPTIC VENT
FOUND 5/8" REBARELECTRIC METER SCALE
FOUND ALUMINUM CAP
GAS METER
TELECOMMUNICATION PEDESTAL Aa==
UTILITY POLE I hereby certify that I have, or someone under my supervision
has, surveyed the property described as:
LOT 1
STODILL SUBDIVISION
OF (PLAT NO. 80-102)
Anchorage Recording District
AF &)
a . . . . � 0 Monuments have been found and/or set as indicated. This
L 0
........ 0 document does not purport to show whether any improvements
0 encroach onto, or off of, adjacent properties.
TRAVIS J BARIL The property dimensions shown in parenthesis are from the record plot and are not
0
LS 141/234 necessarily as we may have measured. Additional data shown hereon should not be
AV construed to "rep lot' or "resubdivide" any property and is shown for information
41- only. Drafting and reproduction may produce graphic inconsistencies; therefore
scaling should not be attempted to determine unshown dimensions. Only easements
m the recorded subdivision plot noted above are shown hereon and it is the
1responsibility111of the owner to determine if any other easements, covenants, or
trictions exist.
0 McClintock Land Associates, Inc. (MLA) 2021
This document is copyrighted and is authorized to be used for one real property
MMCC UNTOCK LAND ASSOCZA 7ES; JTNC. transaction or project only. Any copy is to be considered unauthorized unless it
16942 NORTH EAGLE RIVER LOOP ROAD bears an original surveyor's signature (usuallyin blue ink) or a stamp showing
recorder's office data. Copyright restrictions but not re—use restrictions) are
EAGLE RIVER, ALASKA 99577-7801 waived if this document has been officially recorded. Lending institutions may also
(907) 694-4499 make additional copies for their own records. Liability to MLA is limited to fees
LICENSE No. AECC596 received for this project,
FIELD WORK DATE: 1-18-21 PARTY CHIEF: CS FIELD BOOK: PLOT SCALE: 1*=50'
DRAWN DATE: 1-29-21 DRAWN BY: TB GRID: NW0654 DWG NAME: AB21-104 JOB No: 21-104
NO W 11 IFT IV IV
50'
BLM RESERVATION LINE
d
Note: Winter
27-3
'
71.9
conditions at time
V.
of survey may
TO
ca
have hidden some
NEI
features. Drive
HOUSE
and road shown
CABIN
are traveled way
c.vr
tea. J?7
and may differ
(PLAT 80-102)
LOT 1,
from actual.
(PLAT 80-102)
DETAIL
7 S, 41
co,
CO VERED
6'2 PORCH
Irn )o
00
1b, 4.
.4'4
'(0
10
0 WELL
0
0
0
0
lb
A,
C) 0
0
SEE 72.8'
I-)
n
DETAIL
1-1
7
0
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0
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I'D
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0)
I
`t
— — — — — J
00
Z
CO
Z
HOUSE 4Z
— —
ti
00
00
0,
SEPTIC RISERS
Q
(TYP)
(3) 0
SCALE: 1 = 20'
0 WELL
LEGEND I
NORTH
(XX XX XX) RECORD DATA PER PLAT 80-102
---- SURVEYED LINES —OHE— OVERHEAD ELECTRIC
UNSURVEYED LINES G WELL 0 25 50 75 100
SURVEY TIE 0 SEPTIC VENT
FOUND 5/8" REBARELECTRIC METER SCALE
FOUND ALUMINUM CAP
GAS METER
TELECOMMUNICATION PEDESTAL Aa==
UTILITY POLE I hereby certify that I have, or someone under my supervision
has, surveyed the property described as:
LOT 1
STODILL SUBDIVISION
OF (PLAT NO. 80-102)
Anchorage Recording District
AF &)
a . . . . � 0 Monuments have been found and/or set as indicated. This
L 0
........ 0 document does not purport to show whether any improvements
0 encroach onto, or off of, adjacent properties.
TRAVIS J BARIL The property dimensions shown in parenthesis are from the record plot and are not
0
LS 141/234 necessarily as we may have measured. Additional data shown hereon should not be
AV construed to "rep lot' or "resubdivide" any property and is shown for information
41- only. Drafting and reproduction may produce graphic inconsistencies; therefore
scaling should not be attempted to determine unshown dimensions. Only easements
m the recorded subdivision plot noted above are shown hereon and it is the
1responsibility111of the owner to determine if any other easements, covenants, or
trictions exist.
0 McClintock Land Associates, Inc. (MLA) 2021
This document is copyrighted and is authorized to be used for one real property
MMCC UNTOCK LAND ASSOCZA 7ES; JTNC. transaction or project only. Any copy is to be considered unauthorized unless it
16942 NORTH EAGLE RIVER LOOP ROAD bears an original surveyor's signature (usuallyin blue ink) or a stamp showing
recorder's office data. Copyright restrictions but not re—use restrictions) are
EAGLE RIVER, ALASKA 99577-7801 waived if this document has been officially recorded. Lending institutions may also
(907) 694-4499 make additional copies for their own records. Liability to MLA is limited to fees
LICENSE No. AECC596 received for this project,
FIELD WORK DATE: 1-18-21 PARTY CHIEF: CS FIELD BOOK: PLOT SCALE: 1*=50'
DRAWN DATE: 1-29-21 DRAWN BY: TB GRID: NW0654 DWG NAME: AB21-104 JOB No: 21-104
\ — DARBY ROAD
(N00' 07' 00"W 165.14') (N00' 07 00"W765.15)
SO' 03' WE 165.16': NO' 03' 11"W 165.16'
b
50' BLM RESERVATION LINE ONF FSH, N i I
DETAIL �3s
00CO VERED
6 2 PORCH
a a
'b• 4.4
4'41
� a
v d
MULTI STORY
WOOD FRAME ^� a
�>> HOUSE
Q
O ` .
•
g .01
DECK
SCALE: 1 " = 20'
® WELL
0 20
LEGEND
(XX XX XX) RECORD DATA PER PLAT 80-102
SURVEYED LINES
–OHE-
Note: Winter
UNSURVEYED LINES
21.3
conditions at time
SURVEY TIE
'.
d
of survey may
TO
®
N
have hidden some
NEIGHBOR
T o
D4
features. Drive
HOUSE
and road shown
T
`v' CABIN
are traveled way
c.vi
?o
Li
and may differ
(PLAT 80-102):
from actual.
DETAIL �3s
00CO VERED
6 2 PORCH
a a
'b• 4.4
4'41
� a
v d
MULTI STORY
WOOD FRAME ^� a
�>> HOUSE
Q
O ` .
•
g .01
DECK
SCALE: 1 " = 20'
® WELL
0 20
LEGEND
(XX XX XX) RECORD DATA PER PLAT 80-102
••••OFA, �
/♦
* : 4 * �i
/ ;_oTRAVIS J BARIL 111-15
0 � •• LS 1 23 4AVVA
McWNTOCK LAND ASSOCIATES, INC.
16942 NORTH EAGLE RIVER LOOP ROAD
EAGLE RIVER, ALASKA 99577-7801
(907) 694-4499
LICENSE No. AECC596
FIELD WORK DATE: 1-18-21 PARTY CHIEF: CB
DRAWN DATE: 1-29-21 DRAWN BY: TB
OVERHEAD ELECTRIC
-- 71.9' --
LOT 1
SURVEYED LINES
–OHE-
- — — —
UNSURVEYED LINES
— – – —
SURVEY TIE
D
4
FOUND 5/8" REBAR
c7
®
FOUND ALUMINUM CAP
_
H
D4
L4,
TELECOMMUNICATION PEDESTAL
-a
UTILITY POLE
••••OFA, �
/♦
* : 4 * �i
/ ;_oTRAVIS J BARIL 111-15
0 � •• LS 1 23 4AVVA
McWNTOCK LAND ASSOCIATES, INC.
16942 NORTH EAGLE RIVER LOOP ROAD
EAGLE RIVER, ALASKA 99577-7801
(907) 694-4499
LICENSE No. AECC596
FIELD WORK DATE: 1-18-21 PARTY CHIEF: CB
DRAWN DATE: 1-29-21 DRAWN BY: TB
OVERHEAD ELECTRIC
-- 71.9' --
LOT 1
(PLAT 80-102)
c7
_
H
00
Do
C5")
O
o
o
® WELL
W
---
72.8'
F,
O
I
�
�
Z
Z
—
k
k GARDEN
�Ar 0SEPTIC RISERS
k� (TYP)
®(3) O
NO' 00' 36"W 165.13'
(N00' 07' 00"W 165.00')
NORTH
WELL 0 25 50 75 100
SEPTIC VENT
ELECTRIC METER SCALE
GAS METER
AS—BUILT
I hereby certify that I have, or someone under my supervision
has, surveyed the property described as:
LOT 1
STODILL SUBDIVISION
(PLAT NO. 80-102)
Anchorage Recording District
Monuments have been found and/or set as indicated. This
document does not purport to show whether any improvements
encroach onto, or off of, adjacent properties.
The property dimensions shown in parenthesis are from the record plot and are not
necessarily as we may have measured. Additional data shown hereon should not be
construed to "replat" or "resubdivide" any property and is shown for information
only. Drafting and reproduction may produce graphic inconsistencies; therefore
scaling should not be attempted to determine unshown dimensions. Only easements
from therecorded subdivision plot noted above are shown hereon and it is the
responsibility of the owner to determine if any other easements, covenants, or
restrictions exist.
O McClintock Land Associates, Inc. (MLA) 2021
This document is copyrighted and is authorized to be used for one real property
transaction or project only. Any copy is to be considered unauthorized unless it
bears an original surveyor's signature(usually in blue ink) or a stamp showing
recorder's office data. Copyright restrictions (but not re—use restrictions) are
waived if this document has been officially recorded. Lending institutions may also
make additional copies for their own records. Liability to MLA is limited to fees
received for this project.
FIELD BOOK:
GRID: NW0654
PLOT SCALE: 1"=50'
DWG NAME: AB21-104 JOB N0: 21-104
' ~ ?~'~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO'I ~CTION
, ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL DESCRIPTION
DISTANCE TO: ] Well / /
Manufacturor ~ Matorial ~/ ~o. o, comoartments ~
ILiq. ca~acitv in ga OhS .~ ... Inside length .~
/ ~ ~ IF HO~v~E~v~DE: .~ Width Liquid depth
TO:
~ No. oflines [ Lengthofeachllne~/ / Totallengthofline~/I T~enchwld~~/~inches
Distance between lines
~ Top of tile to finish grade / Material beneath tile Total effective absorption area
Length Width Depth PERMIT NO.
I Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATER ALS ~
SOiL TEST RATING
INSTAELER
REMARKS ~0~ 5~
,~ ,~ ,~ ,
PERMIT NO~
~""'~L[ f-.~ .T. C: :I ~ -~RL :I --F ~-~" C,F
DEPFlRTNENT OF HEFILTH FIND ENVIRONMENTFIL PROTECTION
825 "'L"' STR. EET., FINCHOR. FIGE, FIK. 99501
264-4720
83:065± )
RPPLICBNT
L. OCBTION
LEGBL
GBRY W. STONE PO BOX
LI STODILLL =,z[. TiSNRiH_,=.UI_t
CHUGIBK, 99567 B6~-0i07
LOT SIZE 999999 SQURRE FEET
TYPE OF SOIL FIBSORPTION SYSTEM IS: DRFI!NFiELD
HFIXIi"tUi"[ NUMBER OF BEDROOHS = 2:
SOIL RFITING (SQ FT/BR)= 150
]'HE REQUIRED SIZE OF THE SOIL RBSORPTIO[.,I SYSTEM IS:
[:,EF'TH= .~:_-i L E i'-,,tg} T H = r~_-; _7~--: ,S F-: R %-" E L [:,EPTH= 2
THE LENGTH DIMENSION IS THE LENGTH (tN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF Fl TRENCH OR PIT IS THE DISTFlNCE BETWEEN TNE '_'-;LIRFFICE OF THE
GROUND ;aND THE BOTTOM OF THE E;-::CFI'¢FITION (IN FEET:).
THE TF-."E~-~E:H t:.-~ Z [':-.'T~-t :E S 5. E~E~E~ FEET.
THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFFILL PIPE
FIN[:, THE BOTTOt'I OF THE E,'-.(CWv'FITION (iN FEET.'.,.
PERMIT FIPPLtCFINT HFlS TNE RESPONSIBILIT'¢ TO INFORM THIS DEPFlRTMENT DURING THE
iNSTRLLFtTION INSPECTIONS OF FINY WELLS FlDJFlCENT TO THIS PROPERTY FIND THE
NUFIBER OF RESIDENCES THFIT THE .WELL WILL SERVE.
T~.--~C~ ( 2 ::, Z t"-.1SF'EC:]- ~ C~-~F~ PRE F:EI=-;-., L~ % RE[-'"
BFIE:KFILLING OF RN'.r' SYSTEM HITHOUT FINFlL INSPECTION laND FIPPROVFIL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DIS'TFINCE BETWEEN Fl WELL FIND Fl[NY ON-SITE SEI.4FIGE DISPOSFIL SYSTEM IS
100 FEET FOR R PRIVFlTE WELL OR t50 TO 200 FEET FROM Fl PUBLIC HELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIHUM DISTFlNE:E FROH Fl PRi'¢FlTE WELL TO FI PRI',,,'FITE :-=,,EWER LINE IS 25 FEET FIND
TO Fl COMMLINIT'¢ SEI-4ER LINE IS 75 FEET.
OTHER REQUIREMEN]"S f'lFlY FIPPL"r'. SPECIFICFlTIONS FIND CONSTRUCTION DIFIGRFtHS FIRE
FtVRILRBLE TO iNSURE PROPER INSTFILLFtTION.
I CERTIFY THRT
1: I FIM FFIMIL. IFtR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS FlS SET
FORTH B"¢ THE MUNICIPRLITY OF RNCHORFlGE.
2: I .WILL iNS]'FILL THE SYSTEH IN FlCCORDRNCE WITH THE CODES.
-]:: I UNDERSTFIND THFlT 'THE ON-SITE SEWER SYSTEM MF;Y REQUIRE ENLRRGENENT IF THE
RESIDENCE IS REMODELED TO INCLUDE ["lORE THFI[',I ]': BEDROOMS.
SIGNE[:,:_ -' ................... electrical permit and inspection must be
FIPPLICI-~-,!T GFIR¢ W. STONE obtained. As-builts cannot be approved
til the electrical inspection is received in this
~/),__.,~¢.~ // , ,,}~,,¢'/ / office. The electrical work must be per-
iSSUED E:"F__P~_,.__~_~_~,~___~/~_~ _~_~ ....... _.__~C, FlTE__/_/;~_,~_C~_'~_f_°_F_m-ed_-by a licensed electrician'S.'4. 0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
82§ L, Street, Anchorage, A~aska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
[] PERCOLATION
TEST
DATE PERFORMED: ~///~'~ '
LEGAL DESCRIPTION:
6-
7-
8
9--
10
11
12
13
14
15
16
17
18
19-
20-
COMMENTS
PERFORMED BY:
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/inch)
FT AND -- FT
DATE:
72-008 (6/79)