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Home My WebLink AboutTIMBERLANE PARK #1 BLK 1 LT 13 ;" Municipality of Anchorage Page 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 Nam~~ ~~ Wastewater System: ~ew ~ Upgrade Phone: ~ ~¢~ INo. of Bed~ms: ~eep Trench ~ Shallow Trench D Bed BMound BOther LEGAL DESCRIPTION SoilR~ting: ~,~GPD/Sq. Ft. TotalOepthfromorig~rade: Township: I Range: ISecti°n: Fill added above origin~ g'ade: , Gravel length: Number of lines:~ Dktance ~et~en lines: Gravel width: WELL: ~ New d Upgrade ~ Ft. ~ I Ft. sificatjon(Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date DrilJed: tabc Water Level: In Ilar: Date inst d: Yield:GPM IPumpSeta,: Ft ICasingHe[ghtAbOveGrOono:Ft TANK SEPARATION DISTANCES ~Septic ~ Holding ~ S.TE.P. To Septic Absorption Lift Holding ~u blic/P¢ivate M~u,a~turer; ~ C a pa c ~y~ SurfaCewater ~4 ~ ~ ~ ~ ~, LIFT STATION Remarks: BENCH MARK Location and Description: I Assumed Elevation: S & S ENGINEERING ' 17034 Eagle River L°op R°adNO'~es' 1St ~-I'-'Z~ Inspections performed DY:~a,le ~iver, Alaska YY~2/ ' Department of Heal.nd Human Services approval Reviewed and approved by: Date: ~ - ¢ -¢~ 72-013 (Rev. 9/91 ) MOA 25 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 72 013 A (Rev. 9/91} MOA 25 Tom Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 ..~. 343-4744 July 8, 1993 Delores Widmer 5901 East 6th Avenue 9233 Anchorage, Alaska 99504 1052 Subject: Lot 13 Block 1 Timberlane Park Subdivision Permit #SW920164, PID #019-142-12 #1 The subject permit, issued July 1, 1992 by this office for a single family well and/or on-site wastewater system, has expired as of July 1, 1993. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by.the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any ques~ons, please call this office // J~n Smit~, P. E. P~og~am Manager ~h-site Services at 343-4744. enc: Copy of Permit cc: S & S Engineering HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ROBERTSHAFER P E ROGERSHAFER. PE Dacembar 31, 1992 CIVIL ENGINEERS (907) 694.2979 FAX 694 ~21~ Municipality of Anchoraga DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Strait P.O. Box 196650 Anchoraga, Alaska 99519-6650 RECEIVED JAN Dept.".-;'* ~ ,~ ~ ' REFERENCE: Saptic Inspaction Raport~: Lot 13; Block I; TimbaJ~ana Park Lot 12; Block 2; Ptarmigan Roost Over last s~mmar wa parformad inspections on tha installation of s~ptic systems located on tha abova r~farcnG~d properties. All of thasa systems w~r~ installad in a satisfactory manner and in accordanca with tha parm~ issuad by your offica. Howav~r, to data, th~sa r~main virtually undeveloped proparti~ without foundations installad. On~ foundations ara installl~d wa will complata inspa~tion raport~ with swing-ti~s tiad into th~ corners of tha ho~sa. Th~ appropriate ~¢vation data can than ba tiad into a proper ban~hmark. Th~r~fora, complatad SaptiG inspa~on rcport~ for th~s~ properties ara forthcoming. If you ,,~zva any questions or commantS plaasa contact Sinc~y, ROGER J. SHAFER, P.E. RJS/tv ON SITE WASTE WATER OISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PAGE 1 OF 1 PERMIT NUMBER:SW920164 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:BAILEY DONALD F OWNER ADDRESS:2440 E. TUDOR RD. 343 ANCHORAGE,AK 99507 DATE ISSUED: 7/01/92 EXPIRATION DATE: 7/01/93 PARCEL ID:01914212 LEGAL DESCRIPTION: TIMBERLANE PARK #1 BLK 13 1 LT LOT SIZE: 50094 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 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 (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS ABSORPTION FIELD MUST BE INSTALLED IN ACCORDANCE WITH THE APPROVED ENGINEER'S DESIGN DATED 06/25/92. RECEIVED BY:~~~ ISSUED BY:// June 25, 1992 ROBERTSHAFER, P.E. ROGERSHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 HEALTHAUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, AK 99519-6650 REFERENCE: Timberlane Park Subdivision, No. 1, Block 1, Lot 13 We request you issue a permit to install a septic system to serve the proposed 5 bedroom house on the referenced property. Two test holes were performed on the 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 future septic upgrades, which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. Sincerely, RJS/LSU/lsu b/bai!y ON SITE WASTE WATER DISPOSAL SYS'rEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 I'.= 50' SCALE Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: Township, Range, Section: 13- 14- 15 16 17 18 19 20- COMMENTS SLOPE WAS GROUND WATER ENCOUNTERED? N DEPTH? E Depth 10 Waler Alter Monitoring? ~'~. Dote: ~ - ~-1-~ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ,~fO (minutes/inch) PERC HOLE DIAMETER ~'~ TEST RUN ETWEEN U .AND PERFORMED BY: ~7034 Eagle R[~er L~p Road Ne. 2~.:~ ~~rCERTIFY THAT THiS TEST WAS PERFORMED tN ":~le River, Alaska g~57~, 'EFFECT ON T~HIS DATE. ~ ~- '~"~::~ I ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN DATE: 72-008 (Rev. 4/85} Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: L.,-['~ ~ / "~ b"~'~::::~l~,~¢._.~ Township, Range, Section: ~-'-~.~ '~\ SLOPE 1 2 3- 4- 5- 6- 7- 8- 9- 10- 11 13- 14- 15- -:16- 17- 18- 19- 20- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SITE PLAN , [ o P E gepth to Waler Alter [,.~ Monitoring? '~ Dole: _~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE '~"~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN (~ FT AND 7 FT COMMENTS PERFORMED BY: _~ .~ ~; F:M~I~IIf~:~IN~ I"~'- ~~ ~ 1 7034 Ea~le River Loo~ Road No ~~ ~ ACCORDANCE WIT~ALL ~ A~ ~U~ GUIDEL~s IN EFFECT ON ~HIS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN