HomeMy WebLinkAboutT15N R1W SEC 5 LT 108T15N R1W
Sec. 5
Lot 108
#051 - 082 - 24
ASBUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING 688-456(
1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE'
FOLLOWING DESCRIBED PROPERTY 1"=50 40:OF A�� !+
Lot 108,Sec. 5,T15N,R1W,S.M.,AK
DA
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS 6-27-91
INDICATED. IT IS THE RESPONSIBILITY OF THE i
(� T_H i
OWNER T'0 DETERMINE THE EXISTENCE OF ANY GRID= �•-•••••�'i
EASEMENTS, COVENANTS, OR RESTRICTIONS NW 1457 �.
WHICH DO NOT APPEAR ON THE RECORDED SUBDI- �, Duane Mark Seward r
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB` #r � % LS -6918
ANY DATA HEREON BE USED FOR CONSTRUCTION 22-07 y�:
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES. DRAWN;
DMS
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRQNMEN'rAL SERVICES DIVISION
P.O. Box 196650 · Anch'orage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater DiSposal System and/or Well Inspection Report
]
Permit Number: -~A/ 9/OZCJ(~ PID Number:_ ~/P~
Name: ~ ~ Upgrade
~E 5~F~/~/ _ Wastewater System: ~ New
Address~ 0; ~07 ¢¢~&/ ¢ ~/4~, ~&// ABSORPTION FIELD
:hone:~_~ IN?ofBe~ooms: ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other
I Soil Rating: Total Depth from origlna~ grade:
LEGAL DESCRIPTION~ ¢,¢ ~/s~.~t. ~,o '
Lot: Block: Subd'lvlsion: Depth to pipe bottom from original grade: Gravel depth beneath pipe
Township: Ran Section: Fill added above original grade: Gravel length:
WE~ U New U Up~rado Gfavel~ Number of lines:
Classlllcatlon (Prlvale, A;B~)~ Total D~pth: ~ Cased To: Tolal absorption ~rea: Pipe material:
" Date install .d:
Driller: g~lled:~ Slallc Water Level: Installer:
Yield: gPM PumpSelat:FL CB8lhg~ig~e~[°und:~ F. ~f- I~ TANK
SEPARATION DISTANCES ri: Septic D Holding ~S,T.E.P.
To Septic A~sorptlon LIS Holding P~bllc/Prlvale Manulaclurer: Capacily in gagonm
We1, /¢~/ /~ /0'~ ¢~ ~/ Material: X~'
Surlace
~/~ Size In ~al~s: Manufacturer:
,/~ ~ ~/~ Pump Make & Model Electrical InspecUons performed by:
~ BENCH MARK
~ Location and Description:
J Assumed Elevation:
Munic~pamy el Anchorage ~ ¢ ,, ,.~. ¥.~ ,,, ,:: ,,
Dept, Hgalth & Human 8ervices~ .~
Department of Health and Human Serwces approvm
72~013 (l/§t) MOA 25
Permit No..~t~ ~ [C,~ ~ Page o~- of '~
Municipality of Anchorage
DEPARTMENT, OF HEALTH AND HUMAN SERVICES
ENV RONMENTAL SERVICES DIVISION
P.O. Box 196650 · AnchOrage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Dis~posal System and/or Well Inspection Report
Legal Description:
~0' ROAD EASEMENT
TH ~2
TH
SCALE' 1'=50'
TOP OF PCC SLAB
~'-E~EV = too.oo'
.250 GAl_ SEPTIC
TANK \C/LIFT STATION
BR HDUSE ~
WEST
330'
TEST HOLE
MONITOR TUBE
SEWER CLEANOUT
WELL
EASEMENT
ELEVATIONS
(NOT TO SCALE)
72-013 A (2/91)MOA 25
Dept. Health & Human Services
I-'NGINEER'S SEAl.
MUNICIPALITY OF ANCHORAGE
DEPARTMENTiOF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE)
PERMIT NUMBER:SW910206 I
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:STEVENSON DALE V &!
OWNER ADDRESS:P.O. BOX 670346~
CHUGIAK, AKASKA! 99567
PARCEL ID:05108224
LEGAL DESCRIPTION: T15N R1W SEC 5 LT 108
PAGE 1 OF 1
- I
PERMIT
DA~E ISSUED: ?/~8/91
~Z~ZO~ D&~= ?/~8/9~
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN A~CORDANCE 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 FOLLOWING SPECIAL PROgISIONS.
SPECIAL PROVISIONS
RECEIVED BY:..-.
DATE:
DATE: 7-- / ,~2_ ~,,/
June 28, 1991
John Smith, P.E.
Manager, OmSite Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Louis Butera. P.E.
Registered Civil Engineer
Re: Lot 108, T15N, R1W, Sec. 5
Narrative
Dear Mr. Smith,
The proposed septic upgrade iwill have very limited impact on adjacent properties for the
following reasons:
1. The area has large lots allowing sufficient room for septic sites.
2. Immediate neighboring lots have septic systems or wells in place with adequate
area for replaceinent.
3. Reserve space ii adequate, due to soil absorption capacity.
4. Drainage will not be effected by septic system installation.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
P.O. Box 773294 o Eagl, River. Alaska 99577 · Telel)hone {907) 69,1-5195 · Fax (907) 69,1-3297
LEGAL:
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LOT 108, SE 1/4 T15N R1W Sec. 5
G.._ENE_R~AL ~ 1
1. The well and septi~ plan are for a single family residence on y.
2. The drawing and ~r site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health
and State Departmbnt of Enwronmental ConservaUon requirements.
4. All soil tests are a~visory to the design and are to be verified or modified in the
field by the enginger.
5. All excavations and depths are advisory and are to be verified or modified in the
field by the contractor to meet MuniCipality of Anchorage, Department of
Environmental Co'nservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements
and to locate any adjacent multiffamily wells.
7. The excavation isto be exactly in the area shown on the site plan, any deviation
requires engineeriapproval.
8. It is always recon~mended that a surveyor locate the nearest lot line position and
the location of atiy easements.
~ _BED.
1. The bed is to follow the natural land contour to maintain uniform total depth of
the bed bottom.
2. The bottom of tlie bed shall be level, plus or minus 1.5".
3. The total depth of the bed excavation is not to exceed 98.00' referencing the top
of the sewer pipe at house as 100.00'.
4. The sewer line i~, to replace the existing sewer line that leads to the existing tank.
5. The bed gravel is to be covered with typar fabric material·
6. Soil or combin~/tion of soil and extruded board insulation to a depth of 4' or
equivalent is to be placed over the leacbfield.
7. The area over tlie bed is to be finish graded to prevent ponding of surface water
runoff.
g. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to andy Class "C" well, or 200 feet to any community well.
REC_O~MMENDED LE.&CHF~EL_D_ D.._IMENSIONS:
~OTAL DEPTH = 1.3' GRAVEL DEPTH = 6" below pipe BED LENGTH -~- 42'
BED WIDTH -- 18' SOIL RATING = 0.8 GPD/ft: BEDROOM CAPACITY = 4
SEPTIC TANK SIZE -- 1,50~0 gallons
NOTE: Abandon existi,ng system to code.
NOTE: 2' filter sand required, Quality Gravel in Palmer is only approved supplier.
NOTE: Install 1500 ga~l. Anchorage Tank lift station. Wire to code with verification
by licenced electrician. Controls in residence.
Twenty-four (24) hours notice required for all inspections.
* Septic pla. n only + ....
ASBUILT-NO CORNERS SET THIS DATE"-.
f HEREBY CERTIFY .THAT I HAVE SUR~VEYED THE
FOLLOWING DESCRIBED PROPERTY'. ~
Lot lOS,Sec. 5,T15N,R1W,S.M.,AII
AND TNAT NO ENCROACHMENTS EXIST EXCFPT AS
INDICATED. IT IS THE RESI~)NSISILITY OF THE
OWNER T~ DETERMINE THE EXISTENCFi OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED ~UBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHO~!.D
ANY DATA HERE~N I~E USED FOR CONS, TRUCTION
OF FENCE LINF-~ OR FOR ESTAI!ILISHING BOUND-
ARY LINES. I
SEWARD & ASSOCIATES IbJqD SURVEYING 688-4566
SCALE'
1"=50'
DATE~
6-27-91
IRID~
NW 1457
22-07
DRAWN'
EAGLE RlVr
ENGINEERING SE.~ICES
P. O. Box 773294
EAGLE RIVER ALASKA 99577
Phone 694-5195
Z~, -~ /o~'
JOB
SHEET NO
CALCULATED BY
CttECKED BY
SCALE /~'~'£'
MUNICIPALITY OF ANCHORAGE
DFPARTI~I=NT OF HFALTH AND ENVIRONMENTAL PROTECTION
SOLES LOG -- PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFOFIMED FOR:
LEGAL DESCRIPTION:
SLOPE
SITE PLAN
3:
4
5
6
7
8
9
10-
11
13
14
15
16
WAS (
ENCC
IF YE
DEPT
iROUND WATER SL
TERED?
? ~.,~ ,- ~ E
, AT WHAT
7°?/
Gross Net Depth to Net
Reading Date Time Time Water Drop
17
18
19-
20-
TION RATE ~), ? ~ minutes/inch}
~ TEST RUN BETWEEN -- ,~/ , FT AND ~- , FT
COMMENTS
PERFORMED BY: Eag]o River Engineering Services
P. 0. ~u,-, 7;'32S4
E~gle River, AK 99517'
694~§195 i
72-008 (6/79)
CERTIFIED BY:
DATE:
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Gt" 'ER ANCHORAGE AREA BORO' '"1
~..,,~R'rMENT 0F ENVIRONMENTAL QUALi~.
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
iNSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL__
LIQUID CAPACITY
MAILING
ADDRESS__
PHONE
LEGAL DESCRIPTION
NUMBER OF /
I~MATERIAL .~.~'"~,~'-,~-Z~ .COMPARTMENTS.
GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH
NUMBER OF PITS
SEEPAGE PIT:
OUTSIDE DIAME
LINING MATERIAL
NEAREST LOT LINE__
TILE DRAIN FIELD~
DISTANCE FROM WELl
NUMBER OF LINES__J;~
ABSORPTION AREA__
__OR WIDTH__
TOTAL
,LENGTH__ __, DEPTH
DISTANCE FROM WELL
EFFECTIVE ABSORPTION AREA (WALL AREA)
FOUNDATION ~/~/
DISTANCE BETWEEN LINES '~ /
SQ. FT. ~ENGTH OF EACH LINE
TOTAL LENGTH
, DE L,NES / ,
IN. TOTAL EFFECTIVE
, NEAREST LO[ LINE ~"--~ /
TRENCH WIDTH__ ,~/
DEPTH OF FILTER MATERIAL BENEATH TILE ____
IN. ABOVE TILE
DEPTH: TOP OF TILE TO FINISFI GRADE___
WELL: TYPE/-~/~.~.F2~ DEPTH_ //'~ / DISTANCE FROM WATER
,BUILDING FOUNDATION.. /~ / SAMPLE ., NEAREST
j~.~//_ NEAREST : SEPTIC .,_~_~ /.~ SEEPAGE~' ,, .~'"'~/,ff~/~-~'~"//o.~) OTHER
, SEWER LINE__ /~/~,,,~r-,1ANK -- , SYSTEM ../~''(/~ , C-E$,r~®L , SOURCES'
LOT
LINE
DIAGRAM DE SYSTEM
DISTANCES:
DATE
G.A.A.B.
NAME Of APPLICANT
GRE,~,iER~] ANCHORAGE AREA BOROUGH
DEPAR~rMENT OF ENVIRONMENTAL DUALITY
SEWAGE DISPOSAL SYS'I"EM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
........ MAILING ADDRESS ....... PHONE
LEGAL DESCRIPTION /-~'F
INSTALLATION Of: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
SEEPAGE PIT-- //~ DRAIN FIELD , OTHER
NOTi~ THIS PERMIT IS NOT VALID WITHOUT ~lL ~S~
PFRMIT VAI fl] nNF YFAR
FINAL IN'~P£CTION~ 24 MOtJR NOTI~-qE R~¢,UIRI-~D. BACKFILLING OF ANY SYS?£M NVITNOUT FINAL INSPI[CTION 5V TMI~
HE:ALTH DEPARTMI~.NT AUTHORITY WILL DI;, SUBJECT TO PRO~E:CtJTION,
MINIMUM DI$1'ANCi;S, RIEQUIREMENTS DIAGRAM OF SYSTEM '
5 ft.
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT 20 rte ., DRAIN FIELD
SEPTIC TAN~--'[~ ~L, ~EEPAGE PIT 20 ~te J DRAIN FIELD
WELL, TO SEPTIC TANK ., SEEPAGE PI I
I~O
WATER MAIN TO SEPTIC TANK ~0 f~e SEEPAGE PIT ~0 f~. ~5'--~
GRAVEL BACKFILL ~)'-[m' o~H.y
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID COiDE.
Performed
Legal Descrintion:
This Form Re~orts
3500 TUDOR
A~ICIiORAGE, ALASKA 99502
Lo tj~)~_B~l DC k Subdi vi s i on__~Se~
Soils Lofl~__~ .............. Percolation Test
qeoth
Feet
m
Was Ground Water Encounte~
I~ Yes, At what Denth?
Readinfl Date Gross Time Net Tin,e/ Denth to tl20 Net Dr,,n
................ ~ ....... : ...................................
Percolation Rate
Proposed Installatinn: q,;,~-,~qe Pit
Deeth of Inlet ' ' o :,.
Test Perforned [:y_ t2O~O ..... ......
MUNICIPALITY OF ANCHORAGE
DEPARTMFNT 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 DWFLLING
1. GENERAL INFORMATION
Location (sit'e address or directions) ~r ..~'/~ .~'~...~,.r~--~--' ~¢'~z~z~/
property O~ner/-:~¢~' ¢~' S, /_./',¢~¢,4.~,~,.-y ~ ~~ DaY Phone
Mai'ling~addr~ss ~'.~, ~ ~ ~ ~/~/~ ~'~ ¢~
Lendin~agency::"; :; ' Day ¢hone
Mailing addreSS= "L' :,'
Agent_
Address
· Da?.phone -
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3, TYPE OFWATER SUPPLY:
individual wel
NO'rE:
Cornmunity well
Public water
If community well system, provide written co'nfirmation from State ADEC attest-
ing to the legality and status of system.
;TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
community on-site
Pubhc sewer'
NOTE:,-~ If bomm~i~ity Wastew~ter ~Jy'stb~i Provide writtbn cb~ffrrmation from state ADEC' r
. ' a~esting to the legalit~'ahd st~s of'symPtom;
.~, .~-~ .... ,,.;c~.;. . ~- . - : : :;. , .~ ,.',.-
5. 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 ~/,~z_--ca- '~'./~-¢'~--~/~..~,/~ Phone ("¢~/)
Address
Engineer's signature ~J~ ~ (~ Date.
DHHS SIGNATURE
//"'/ Approved for
bedrooms.
__ Disapproved.
Conditional approval for
bedrooms, with thee following stipulatiom'
Additiona~ Comments
The Municipality o); 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 purchasers of homes
and their lending institutions in order to satisfy certain federal and state requ!rements. EmPloyees of DHHS do not
conduct inspections or analyze, dm~ before a certificate is issued. The, Municipal ty of Anchorage is not
responsible for errors or omissions in the professional engineer's work, .
72-(~5(Rev. 1/~l) Back MOAIt21 ,
ECEIVED
Municipality of Anchorage MAY 2 5 199~,~
DEPARTMENT OF HEALTH & HUMAN SFRVIOESUN~ClP^Ln'Y o~ ^NC~
Environmental Services Division t~NV~RONMENTALSERV~CES
825 L Street, Room 502 · Anchorage, Alaska 9950'1 · (907) 343..4744
Health Authority Approval Checklist
Legal Description: '~'¢¢'/¢~ ~-"J~ X¢_-//¢-]~ ~-~ ~ Parcel I.D.:
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed "~'-¢',-' .~.,¢--., /
Cased to ~, ¢,z~/ Casing height (above ground)
/¢ Wires properly protected (Y/N)
AT INSPECTION
_/¢'-¢*' ×~
g.p.m. ~ :¢ g,p.m.
A. WELL DATA
Well type
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
¢' '~'¢ '~' Other bacteria
Collected by:
FROM WELL LOG
s/~.~/~?
Date of test
'Statlc water level
Well production ,¢
WA'rER SAMPLE RESULTS:
Coliform ~- Nitrate
Date of sample: ,'~'¢~' /z~
B. SEPTIC/HOLDING 'rANK DATA
Date Installed ~/4J'°l'?l _ Tank size
Foundation cleanout (Y/N)_ ~/v/ Depression (Y/N) '¢J High water alarm (Y/N)
Date of PumPing
C. ABSORPTION FIELD DATA
Date installed
Length ,¢/,¢ ,~-,,.z Width
Number of Compartments .~'_ Cleanouts (Y/N)_ ,;/
Soil rating (g..p.d./fF or fF/bdrm) ~,
/~',zT/ Gravel thickness below pipe
Effective absorption area 7,¢'¢/~/'~ Monitoring Tube present (Y/N).
Date of adequacy test ~/'¢~//"¢'? Results (Pass/Fail)
Fluid dePlh In absorption field before test (In.);
Fluid depth z~' (ins) Mitres later:_
Peroxide treatment (past 12 months) (Y/N)
. System type
~/,tX, Total depth _
. . Depression over field (Y/N)
For /// bedrooms
Immediately aiter~¢'~ gal. water added (in.): ,,z~
Abserption rate = ~o .g.p.d.
yes. give date
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested -~
E. SEPARATION DISTANCES
Septic/holding tank on lot
Absorption field on lot
Public sewer main
F.
,,/
Size in gallons
"Pump on" level at*
SEPARATION DISTANCES FROM WELL ON LOT TO:
Sewer/septic service line
*Datum
"Pump off" level at* //',,¢ ,,~'.
72-026 (Rev. 3/96)*
HAAFee $ "~ C'~b '~
,Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
SEPARATION DISTANCES FROM SEPTIC/HOLDINGTANK ON LOTTO:
Foundation ~-~ ~/~-~- Propertyline ,~d-',~ "/~/~ Absorption field /m
Wate'rmain/serviceline ~5-~/~Sudacewater/drainage /~¢ ¢~/ Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line /~ ~/ Building foundation ~ ~ Water main/service line ~'~
Sudace water /~ * ~/ Driveway, parking/vehicle storage area
Curtain drain ~¢~ ~¢~ ~o z~x/~ Wells on adjacent lots /oo
ENGINEER'S CERTIFICATION
I ce~ify that lhave determined thru field inspections and review of Municipal reco~J~
in conformance with MOA H~A guidelines in effect on this date. ~, ~
Signature ~ ~
_ 0
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station