HomeMy WebLinkAboutT15N R1W SEC 8 LT 1641'2 I- D
Municipality of Anchorage Page [ _of 7..
DEPARTMENT OF HEALTH AN[) 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
Address:
Phone:~7~70 INo.~fBedrooms'. ~OeepTrench [3 Shallow Tre.ch OBed ~Mound OOther
LEGAL DESCRIPTION s°"""""~: ~,~GPD/Sq. Ft. T°[alOepthfr°m°riglnelgr~e:~
L°h ~ ~ 81°ck: Subdivision: Depth Io pipe bo[Iota I~om odginal grade: Gravel depth beneath pipe
I J FIll added sbove original grade: Gravel length: ~ Ft~
WELL:~IsT [] New D Upgrade G,av.~,,~; ~ Ft. O~EI
Yield: IPump Set ~l: ICasing H"igh. Ab°ye Gr°und: TANK
SEPARATION DISTANCES ~septic ~ Holding ~ S.T.E.P.
From Tsnk Field StaUon Tsnk Sewer Lines ~.~ ,~ ~
Surface
w~,~ ~-~o ,~o *1oo LIFT STATION N/~
Foundation +~ ' * IO I ~ "Pump on" level at: ]"Pump OH" level at: High w ,let alarm
Curtain ~/~ .... I , ~ ~ .~ Pump Make & Model ] Electrical Inspections performed by:
Drain ~ f' ' f
m Assumed )Ob~
ENGINEER'S SEAL
Department of Health and Human Services approval ~,,&;., .,.-
Reviewed and approved by: Date: /~-'~ -, ~, . .m,
PermitNo. ~'v/ ~/d~"/ Page
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICFS ,.
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4.744
On-Site Wastewater Disposal System and/or Wail Inspection Flieport
Legal Description:
r-
N 89°58'00, W 389.80
33' PATENT RE]~¢ EASEMENT
WELL
SWINGS
AC 39,8
BD tO3,3J
389.80
SCALE 1" = 60'
· MONITOR fUBE
o SEWER CLEANOUT
-~- WELL
-- LEACHFIELD
.... EASEMENT
EL. EVATIBNS~ TOP or
N 89'51'30'
87.0
PAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HI/MAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW940421
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:ALEX HERBERT & ELIZABETH
OWNER ADDRESS:P.O. BOX 870137
WASILLA , AK 99687
DATE ISSUED:il/02/94
EXPIRATION DATE:il/02/95
PARCEL ID:05115305
LEGAL DESCRIPTION: T15N R1W SEC 8 I,T 164
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT. 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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 (18AACS0).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 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:
RECEIVED BY :_ ?'~'/~1 /.x.~ ~.~ DATE:
ISSUED BY: ' (~, ~L~/'---/~Z-~ a~s~--~-- DATE:
/
Louis Butera, P.E.
Registered Civil Engineer
October 26, 1994,
Jim Cross, P.E.
Manager, On-Sim Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Lot 164, T15N R1W Section 8
Narrative & Upgrade Application
Dear Mr. Cross:
The proposed septic upgrade will have very limited impact on adjacent properties for the following
reasons:
1. The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity.
4. Drainage will not be affected and is not a major consideration in our design.
Due to the state of the existing septic system which has surfacing effluent, we request an expedited
review of this application packet.
If you have any questions please call our office at 694-5195.
Sincerely,
Ixm~a, P.E.
\C;\WPW1N60\WPDOCS\1994\94-080A.NAR
P.O. Box 773294 . Eagle River, Alaska 99577 · Telephone (907} 694-5195 . Fax (907} 694-3297
3a9.80
N 89°58'00~ W
PATENT ROW EASEMENT
WELL
WELL. TO BE
ABANDONED
CONNECT TO
EXISTING STUB-OUT
L000 G A LXNx
SEPTIC TANK
TH1
x
EXISTING TANK AND
°~LEACHPIT(S) TO BE
ABAND[]NED Tn CODE
/ 'i/~-
o -
~ -
389,80
TEST HOLE
MONITOR TUBE
SEWER CLEANOUT
WELL
PROPOSED I_EACHFIELD
EASEMFNT
Z
N 89'51'30'
NO DEVELOPMENT
NO SURFACE WATER VACANT
NO KNOWN CURTAIN DRAINS
SI:--PTIC SIT['- PLAN
I_EOAL: LOT 164, T15N RlW SECTION 8
OWNER: ELIZABETH ALEX
CONTRACTOR: N/A
JOB # 9'I--0801 DATE: 10/26/941 SCALE 1" = 50'
EAGLE R£VER ENG/NEER/NG SERWCES
A P.O. Bo~ 773294
EAG£E RZVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297
SPECIlVICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Lot 164, T15N RiW Section 8
Co
~AL
1. The septic plan is for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health
requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the
field by the engineer.
5. All excavations and depths are advismj and are to be verified in the field by the
contractor to meet Municipality of Anchorage requirements.
6. It is the responsibility of the owner to obUfin all necessary permits or easements
and to locate any adjacent multi-family wells.
7. 'llne excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. It is always rex:ommended that a surveyor locate the nearest lot line position and
the location of any easements.
EXISTING SEITI'IC TANK AND LEACHPIT. i.q.
1. F..xisting septic tank and leachpits will abandoned to code, in place, by the pump,
crush/fill technique.
1. The trench is to follow the natural land contour to maintain uniform total depth of
the trench bottom.
2. The bottom of the trench shall be levd, phis or minus 1.5".
3. The total depth of the trench excavation is not to exceed .8' at any point.
4. The sewer line is to replace the existing sewer line that leads to the existing pit.
5. The trench gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or
equivalent is to be placed over the leachfield.
7. The area over the tnmch is to be fnfish gradeA to prevent ponding of surface water
runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200 feet to any community well.
i~EC(')MMENI)ED LEACHI~qELD DIMENSIONS:
TOTAL DEPTH = 8' GRAVEL DElYFH = 5' under pipe, 2" over pipe
~iSRENCH LENGTH = 57 ' TRENCH WIDTH := 3'
SOIL RATING = 0.8 GPD/ft2 BEDROOM CAPACITY = 3
SEPTIC TANK = 1,000 gallons minimum
Twenty-four (24) hours notice required for all inspections.
C:\WPWIN60\WPDOCS\ 1994\94-080A.SPC
EAGLE FIIVER
ENGINEERING SERVICES
P.O, Box 773294
EAGLE RIVER, AK 99577
(907) 694-5195
SHEET HO. --
C^LCULATEO BY
CHECKED DY__
SCALE
~-/W q~.,.~/o/v ?
OF.
3 Bedroom Single Family Dwelling
3BR = 450 gpd
Soil trench rate = 7 rnin/inch -'= 0.8 glxl/ft2
Absorption area required' = 450 + '0:8 = :i62.ft2
Use trench system:
Total depth = 8'
Grovel:depth = 5'
Length = 562
.-- 10 =' 57'
\~ :\WPWIN60\WPD O CS\ 1994\94-080A. CAL
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
(ENGINEER'S SEAL)
PERFORMED FOR:
LEGAL DESCRIPTION:
5
6
7
8
9-
10-
11
13-
14
15-
16-
17-
18'-
19-
20-
DATE PERFORMED: /~:~-/~ -,.¢.z./ _
Township, Range, Section: '7'/~".4../ /~//,~.. ~.~., ~
COMMENTS
WAS GROUND WATER
SLOPE SITE PLAN
IF YES, AT WHAT
DEPT.?
0eplh 1o Water Aller/..? ,
Monilodng? .
0,,
(]ross Net Depth to Net
Reading Date 'rime Time Water Drop
/ II: ~ 5" ~/1~ '~
?,- I1: 5 '¢ I0 i','t/,'t ~- ~1/~" I - ~//~
~ /I :6~ 6- ~//U'~
· :~t! ' ,zm PERCOLAI'ION RATE 7 (m]nutes/~nch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND ~-~' 5 FT
PERFORMED BY: /!//,/¥//¢~_~r~//~/ i ~'~ .~a' ~-? CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /~/,~,~/~Z/.
72-008 (Rev. 4/85)
GRE,
~ER ANCHORAGE AREA BOP'~IJGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME JJCF&l~¢)_l' ~ MAILING ADDRESS PHONE
LOCATiON_~~ I~-,v ~ ~U,(~_(;~,~ LEGAL DESCRIPTION ~'F
SEPTIC: TANK:
DISTANCE
FROM WELL
INSIDE LENGTH.
. MANUFACTURER
. INSIDE WIDTFI
MATERIAL
_LIQUID DEPTH
NUMBER OF
COMPARTMENTS __
__ LIQUID CAPACITY
_GALLONS.
NUMBER OF PITS DIAMETER ____ OR WIDTH LENGTH
DEPTH
LINING MATERIAL
BUILDING FOUNDATIGN ____
CRIB SIZE: DIAMETER____DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE"~)C.(t'l-EP "~-¢ACD~/~ONSTRUCTI()N__ (;'lC
BUILDING NEAREST NEAREST
FOUNDATION LOT LINE SEWER LINE
CESSPOOL OTHER SOURCES
APPROVED. _ DISAPPROVED REMARKS
DEPTH¢
DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE: L~
Form No, EQ~031
DIAGRAM OF SYSTEM
-tORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAIL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK ;~
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
PHONE
WITHOUT SOIL TEST
DRAIN FIELD
SEEPAGE PiT /0¢t
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT -
SEPTIC TANK, . r SEEPAGE Pit /(~ DRAIN FIELD
GRAVEl ~3ACKFILL
CONFORM TO E~O.~;;~U/GH'~GULATION$ REGARDING
INSTALLATION.
I CERTIFY 'rHAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-0B AND THAT THE ABOVE
'~ MUNICiPALiTY OF ANCHORAGE
by ~N 4 ]ggg
L DRILLIng CO PA YRECEIVED
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION /' 16q '175'>'~ t~160 ,Yd']
DATE ~Started __i~,//_d' Ended :1/~]/
PERMIT NUMBER '7 0 C '/,~?'~ _~
!
DEPTIt OF WELl. /,-~ 0
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR /~O
KIND OF CASING ~ ~J~ o dj
KIND OF FORMATION:
From O Ft. toC~
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Frmn ~__Ft. to~/Jt>
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Ft.
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Frmn ___.Ft to. __Ft.
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From_____Ft. to____.Ft
MISCL. INFORMATION:
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DRILLER'S NAME /:.:' ' ~,v
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-.6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
ParcelI,D,# ~)~- \~L~LL-\Z'-- NAA# t~\
1. GENERAL INFORMATION
Complete legal description
Lot 158; Sec 8; T15N; R1W
Location (site address or directions)
19921 Crabtree Drive
Chugiak, AK
Property owner ', Sherry Shepard
Mailing,address . ':c~0 2,o~jers Realty
Box 874169
Dayphone.
Wasilla,
688-2968
AK 99687
Lending agency 2~'~r~'"¢~,'~ ~ t'~'~r~ ~ '~' Day phone
· Ma ng addressL "--
:. ' ~' 376-4646
Bob' Rogers Day phone
'Agent
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY:
xxx
Individual well
Community well
Public water
NOTF-: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of sy,Jtem.
72~025 (Rev, 1/gl} Front MOA #21
STATEMENT OF INSPECTION BY ENGINEER·
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm ~S4_~Ic~N_,_-~.~.,~ Phone ~ 'f' - 2-- c/ 7 ,~
Address 17034 Eagle River Loop Road Nr~. ~:
Eagi~ Rlv~
Engineer's signature..1__//~//---'~Tv~._~ Date, ~/~ 'z J~ 7
DHHS SIGNATURE
· ~. Approved for ~
-- Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
By:
Additional Comments
Date
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to pu rchssers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72'025(Ba¥.1/91) Back MOA~21