HomeMy WebLinkAboutTERI TR A1
Municipality of Anchorage Page _
DEPARTMENT OF HFALTH 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.~ I ~z~:~r' PID Number: _ ¢2~5"~ ~'1 ~
Wastewater O~tem: ~New ~ Upgrade
Address:
~o,~ ~ ~F. ~¢~ ABSORPTION FIELD
IND. of Bedrooms:
Phone: ~ ~ ~ ~ ~ Deep Trench hallow Trench D Bed ~ Mound D Other
Total Depth from original gra e:
LEGAL DESCRIPTION s°" Rsting: ~, ~ GPD/Sq. Ft.
Ft.
Township: Range: I Section: ~ill added above origina~grade: I Gravel length:
I
Gravel ~: ~ Number of lines: Distance between lines:
WELL: ~ew ~ Upgrade ~2~¢ ,~ ~ Ft, ~ ~¢ Ft.
Cla~ation (P~ivate, ~,B,C): Tota~ Depth: Cased To: Total absorptio~:/~ Pip~teriat: ~ ~ ~.
Yield:GPM IPumpset8t: Ft. CasingHaghtAboveGround:Ft. TANK
SEPARATION DISTANCES ~Septic U Holding U S.T,E.P.
TO Saptic Absorption Lift Holding P.blic/Priv~le ~~, '~ ~L capacity in gallons:
From Tank Field S~ation Tank Sewer Lines ,~ . ~ ~ ¢~
Surface
Water ~& ~ / / ~¢* LIFT STA"rlON
Lot ~lk ~1 ~ / ~ S*ze in gallons: [Manufacturer:
Line
I "Pump on" level aE "Pump ofl';leve[ at: High water alarm at:
Foundation ~1 ~ O ~ ~
Remarks: BENCH MARK
Location and Description:
EN~NES~'~EAL
Inspections performed by: 17034 Eagle Rl~er L~p Read ~ 1st ~-~1 ~~~'~
Eagle River, Alaska ~5~ 2nd ~-~1__ '
Department of Health. nd .Human Ser~s approval ~-~',',.,. .~..,
Reviewed and approved by: ate: ,~,~%.%,~.~.:
72-013 (1/9Z) MOA 25
Permit No. '~,J~l O lZ~r
Page ~- of ~Z.
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
Legal Description: '"~1~ '~
PID No.: ~-~'0~-¢'I~2~ __
72-0~3 A (2/91) MOA 25
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:SW910144
DESIGN ENGINEER:S & S ENGINEERS
OWNER NAME:SINCOCK HUGH F
OWNER ADDRESS:P.O. BOX 20013
ANCHORAGE, AK 99520
DATE ISSUED: 6/10/91
EXPIRATION DATE: 6/10/92
PARCEL ID:05075109
LEGAL DESCRIPTION: TERI TR A1
LOT SIZE: 18469 (SQ. FT.)
NUMBER OF BEDROOMS: 2 THIS PERMIT: 2
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1
2
3
THE ATTACHED APPROVED DESIGN.
ALI, 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).
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH
INSPECTION.
ISSUED BY:
DATE:
DATE:
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL )RSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWAEER
OlSPOSALSYSTEM
DESIGN
ROBERTSHAFER, P.E,
ROGERSHAFER
1991
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
RECEIV'F.D
Mu~ipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTN: John Smith
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
JUN 4 1931
Mun~c:ipaUtY of Anchora.cja
Dept. I-leattiq &-HLliTlan Services
REFERENCE: Tract A-I, Teri Subdivision;
Dear Mr. Smith,
You informed us by telephone that dw~nB your site visit to the
referenced property on May 23, 1991, you found ~roundwat~r levels of 9
ft. and 6.5 ft. within test holes #I and #2 respectively. On May 28,
1991, we visited the site and found the s~e wat~ levels. Due to the
elevated groundwater level within test hole #2 we have redesiBned the
proposed leachfield making it shallow~ and long~. See sk~ehes
at~ached.
If you have any questions or require additional information to compl~e
your review, please co.act us.
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
I~CALE
ROBERT SHAFER, P.E.
ROGER SHAFER
May 17,
1991
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUI'HORITY
APPROVALS
SEWER&WATER
MAINEXTENSIONS
Municipality o~ Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Tra~ A-I; Teri Subdivision;
SEWER&WAYER
INSPECTION
PERMIT REQUEST NARRATIVE
ENGINEERING STUDIES
ANO REPORTS
WELL INSPECTION,/
& PLOW TEST
SITE PLANS
ROAD DES]GN
Th~s is a rela~vely sm~ mountain-side property. The grade on the
north portion of the property ~ approximately 25% while the lot
steepen to the so~h to approximately 40% slope. Due to this grade we
are requesting a waiv~ to AMC 15.65.060 A-2a. Due to the spill-over
d~sign we have proposed, the good soils, and natural overburden layer,
we feel this waiver may be granted.
This is an area of t~m~ed development. We foresee no negative impa~t
on n~ighbo~ng properties by the i~st~ation of the proposed well and
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
SCALE
[',-..,.
4.._
SCALE
Mbnlcipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
[)ATE PERFORMED:'
LEGAL D E SC R I PT I O N :'~'~'~.~--~r
1
2
3
4 ~::~
8
10
~3
~7
~8
2O
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
'DFE pYTEi~ AT WHAT
SITE PLAN
PERCOLATION RATE _ ~'~ __ (m~nutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN~_ FT AND 4 FT
PERFORMED B~;:~4 ~;¢~,, ~!,"'~~//¢ ¢ CE" JIFY THAT THIS TEST WAS PERFORMED I"
72-008 (Rev. 4/85)
Reading Date Gross Net Depth to Net
Time Time Water Drop
__ 4 /g
Municipality of Anchorage
DEPARTMENT OF HEALTH 8. HUMAN SERVICES
825 'L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
LEGAL. DESCRIPTION~~ ~ '- I "~-'~--~\ Township, Range, Section:
1
2
3-
4-
5-
6-
7
8
9
10
11
12
13
14
15
16
17,
18-
19-
20-
SLOPE
WAS GROUND WATER
ENCOUNTERED?
fflonitoring? - i / 2.
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE L~' (minutes/inch) PERG HOLE DIAMETER
TESTRUNBETWEEN/7~-FTAND ~ _FT
S 8, S ~]NGIHEERINt~
