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Home My WebLink AboutSTRUCK LT 2B Municipality of Anchorage Page / of 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 Permit Number: .~'~ ~.~d.~(~' PID Number: ¢/¢.~,..~.~, [('.)\~L~_ N~e: Wastewater System: ~ New ~ Upgrade ~ddr~,s: ABSORPTION FIELD ~ J No. of Se~ooms: ~~.~ ~ ~7 ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound g Other LEGAL DESCRIPTIO N sci, Rating: ¢,~ GPD/Sq. Ft. Total Depth from /2°riginali grade: Lot: B~ock: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township; ~ Range: ~ Section: Fill added sbove original grade: Gravel length: I I ~ Ft. ~ Ft. WELL: ~New B Upgrade Gravelwidth: Numberoflines: JDistancebetweenlines: 2 ,~ Ft. ~ /~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Drill r: ' J/~ ¢/ Ft. ~P~ ~¢~/¢ Dateinstaged: ~;~l~ ~l~l ~ Date Drilled: StaticWater Level: Installer: /¢ ~1 J Pump Set at: I casing Height Above Ground: Yield: ~ GPM ~ ~,. 12'~ TANK SEPARATION DISTANCES ~Septic ~ Holding g S.T.E.P. TO Septic Absorption Lift Holding Public/Pdvat~ Manufacturer: Capacityin gallons: From Tank Field Station Tank Sewe~ Lines ~ ~ ~ Surface ~LIFT STATION Water /~0 I /~d ~ ~ Lot Size in gallons: I CurtainDrain · ~0~1 ~6 ~ Pump Make & Model I Electrical Inspections performed by: Remark ~1~~ ~o~/~1 BENCH MARK A ~ ~ ~ ~ /~~ Location and Descdption: 17034 Eagle River Loep Road, No. 2~ ~' ~,~" Inspections performed by: Eagle Ri~r, Alaska~5~ Dates: 1st E-~-~J ........................ .~ ? ~ Department of Hea~ ma~Ser approval . Reviewed and approved / ~ ~ " ' ~ ' ' / 72-013 (Rev 9/91) MOA 25 Permit No. $W950568 Page 2 of. 2 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 ~ STRUCK SUBDIVISION LOT 2B Legal Description: PID No.: 0156555 N CO2 CO3~ COZ 1250 GAL S.T. TRENCHES 5~ GAL. co il/ SHOWN ON THIS SITE PLaN ARE AS SHOWN ON AN kS-BUILT SURVEY DRAWN BY: iFRED WALATKA & ASSOCIATES C/ELL 101.3' · 82.0' N0i WATER FOUND ~CO 1~ 2 ~01 26 15.5 ~02 lQ 19 ]03 2~.5 27 304.~5~.5~-~5,5.~. ~05 2~.5 35.5 ~06 5~ 59.5 ~T1 3~ 42 ~T2 41i 48.5 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD LOCATION OF WELL '.~ DEPTHS MEASURED FROM,'~casing top l-lground surface BOREHOLE DATA: Material Tvl3e and Color Depth From To WELL OWNER: WELL DEPTH: ~ DATE OF COMPLETION Depth of hole: ,~O ft Depthofcasing:. ~.? ft ~ I ,~Z' bl ~.~ DEPTH TO STATIC WATER LEVEL: ~ / ft below .[~op of casing Date: ¢ / ~-~/ ~ [] ground surface METHOD OF DRILLING: ~air rotary [] cable tool [] other USE OF WELL: ~]r'domestic [] irrigation. [] monitor [] public supply [] other CASING STICK,~:E~ ~ ft. Diam: -~ in. to ~CTft //2~ .~ ~'-' Casing type: ~ ~. to ~t INTAKE OPENING TYPE: ~ open end ~ screened ~pe~orated ~open hole Depths of openings: ~ to ~ ~ ft SCREEN TYPE: Diam: in. Slot/Mesh Size: Length:. ft RECEIV D ~A~ 1 ~ ~ GRAVEL PACK TYPE: Volume used: Depth to top: GROUT TYPE: Volume: Depth: from ft to ft DEVELOPMENT METHOD: Duration: /~"~ . PUMPING LEVEL AND YIELD: '"~(~ ft after ,Z hrs pumping_ ~/ .gpm PUMP INTAKE DEPTH: ft Horsepower: WELL DISINFECTED UPON COMPLETION7 ~'YES [] NO CONTRACTOR INFORMA,~tON: REMARKS: ~ ~ ¢/~ ~ ~.. R~is)~,~d Business Na~e ,~ /[ / //;" ~ / -~/ /~ -- ~ .... ~ PLEASE MAIL WHITE coPY OF LOG TO: ,~/~'~-~,'~'/ ~ /~ ~ ~'- ~ DNR/DIVISION OF WATER Signature of Authorized Resprese~tative Date PO BOX 772116 EAGLE RIVER AK 99577-2116 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930368 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:BARBEAU MARILYN OWNER ADDRESS:2440 E. TUDOR RD. 400 ANCHORAGE AK 99507 DATE ISSUED: 9/15/93 EXPIRATION DATE: 9/15/94 PARCEL ID:01516355 LEGAL DESCRIPTION: STRUCK LT 2B LOT SIZE: 49508 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 (18AAC80). 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: ALL PROVISIONS OF AMC 21.45.210 STREAM PROTECTION SETBACK MUST BE FOLLOWED. THE PROPERTY OWNER HAS BEEN PROVIDED A COPY OF THIS ORDINANCE. THE SYSTEM MUST BE CONSTRUCTED BY A DHHS CERTIFIED CONTRACTOR.~.~_ ./~9~/~'~, A.~~~~ _ issu o BY: ATE:. ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS August 18, 1993 (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER &WATER INSPECTION ENGINERRING STUDIES ANO REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAO DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ~unicipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES B25 L Street Anchorage, AK 99519-6650 REFERENCE: Struck Subdivision, Lot 2B Ne request you issue a Dermit to drill a well and install a seDtic system to serve the DroDosed four bedroom house on the referenced DroDerty. I~o test holes were excavated and percolation tests performed on the referenced property. The approximate location of the test holes are located on the attached site plan. The monitoring tubes within the holes have been checked and found to be dry. This property has enough area for a future septic upgrade, which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by ~he installation of the proposed septic system. if you have any questions, or require additional information for your review, please contact us. ert A. Shafer, P~ZRAS/LSU/lsu .E. ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 I 0 7'71H I ' Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL D ESC R, PTiO N .~----~1~, j~/I (~__~L-~!~ ,,/~r~jownship,_ Range, Section: SLOPE S IF YES, AT WHAT ~) DEPTH? p E Depth to Waler ADer SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20~ Gross Net Depth to Net Reading Date Time Time Water Drop f ,, PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~?~' FTAND '~/~- FT COMMENTS S & S £NGINEEEING PERFORMED BY' 170.34!aBle-R. iYe.~ L-°-°-P-R-~adN*'204, '~' '\('~'~ CERTIFY THAT THISTEST WAS PERFORMED IN ACCORDANCE Wi~?2L~V(/~tAaNS;~t;;?;;AL G UiDELiN ES iN EFFECT O~ .~i~DATE~. DATE: ~ -~¢"~ ~;~ "'~'~ 72-008 (Rev. 4185) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION~-~1~[/~-~-~ ~/-~1 ~ ~.~x:~wnship, Range, SectioR: SLOPE WAS GROUND WATER ENCOUNTERED? 1 2 3- 4- 5- 6- 7 8 9- 10- SITE PLAN 11 IF YES, AT WHAT DEPTH? 13- 14- 15- 16- 17- 18 19- 20- Monitorino? 'L ~/~'"'~ Date: Gross Net Depth to Net Reading Date Time Time Water Drop ~ ~1~l~¢- ~:~,~-~ . j f~,/4~~ ~ %~, ~.. ~o I¢ ~,~ ~" ~l~" ~ · ~,~ ,. (~i~,.,1~.,, PERCOLATION RATE '~-"1¢/) {minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN /~)'/¢~FTAND ~ FT COMMENTS ~ & S ENGINFI=t~I~G 12'034 Eagle River Loop Roa¢~ No. 2Q4 ~ 5~ CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: E~le RJver~ Alaska ~577 [ - ~ ~ ~ ~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85)