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HomeMy WebLinkAboutUS SURVEY 3200 LT 15 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 Permit Number: %v'/~1 ~ c~ ~ -I ~ PID Number: Name: ~)~.-~ ~ ~TR~ ~LV[ ~ Wastewater System: ~ New ~ Upgrade Phone~D~ ~__~ lNo. of Bedr~ms: ~DeepTrench OShaliowTrench OBed OMound OOther TotAl Depth from originsl grade: LEGAL DESCRIPTION soil Rating: O,~ GPD/Sq. ~t. Depth to pipe botfom f¢om original grade: Gravel depth beneath ipe  Range: ~ Section: 'ill added above original grade: Gravel length: Township:l~ [ W ~ O,O Ft. ~' WELL: ~New ~ Upgrade ~ve~idm: Numberoflines: ~Distancebe~eenlines: Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Origer: Date Drilled: Static Water Level: Installer: Date installed: Yield: Pump Set ah Casing Height Above G¢ound: SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P. w~,- ~t~' I1~' ~/k N/A N/A Materia,: kS~ O,zeL Number of Compa~ments: ~ su~o~ "/k "/A ~ LIFT STATION Line ~ ,Pump on" level at: J"Pump oil"level ~t: J High water alarm at: Foundation ~ ~ ~ j ~ ~ Cu~ain ~ ~j~ =ump Make & Model J Electrical Inspections performed by: Drain Remarks: W6~ ~ioM ~6b ~o~ ~'~ BENCH MARK ,nspections performed by: ~ . D at es:ll;~ Department of Healt~and Human Se~ices approval .~",.~~ ~ ~., 72-013 (Rev. 9/9t) MOA 25 · Permit No. ,_%v,~ ~ ~ o t -] S 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 Legal Description: ~' ~,c,c, L.o-~ t-~ PID No.: 72-O13 A (Rev. 9/91 ) MOA 25 ~, .~0 # 133HS 33S £'ON 370H 2S3~ PAGE $ OF 4 "% ~F/ ENGINEERS ~kV,~ SURVEYORS ~ PLANNERS B '~ I PROJECT MANAGERS 723 West Sixlh Avenue Anchorage, Alaska 99501 '~ SOILS LOG [] PERCOLATION TEST OATEP~RPOR~EO ~In /R~ LEGAL OESCRIPTION: ~'A'S~ ~2-~Z'o0 ~'~ ~ "~-~ ~ 16- 17 18 zg 2O ~*, * ~ WAS GROUND WATER t ~;·· ...... .~ I¢ YES, AT WHAT DEPTH? SLOPE S L O P E SITE PLAN PERCOLATION RATE' (mmuleshnch J TEST RUN BETWEEN FT AND FT PAGE 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:SW950175 DESIGN ENGINEER:LCMF LIMITED OWNER NAME:CALVIN DEA B III & KATHLEEN F OWNER ADDRESS:HC 52 BOX 8571 INDIAN, ALASKA 99540 DATE ISSUED: 7/21/95 EXPIRATION DATE: PARCEL ID:09004117 LEGAL DESCRIPTION: US SURVEY 3200 LT 15 LOT SIZE: 166650 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONTRUCTIOM 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 AMD 15.65 AMD THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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. 1 OF 1 7121/96 SPECIAL PROVISIONS: AT THE TIME O~ ~ .O/~UOTIO~NEER~ SH~LL PERFQRM:~A SOILS OFFICE WITH T~-B~LT/I~TiON REPORT. ISSUED BY: July 19, 1995 Mr. Dan Roth Municipality of Anchorage Department of Health and Human Services On-Site Services P.O. Box 196650 Anchorage, AK 99519-6650 r- SURVEYING PLANNING PROJECT MANAGEMENT Re~ Lot 15, U.S. Survey 3200 Dee Calvin Property Dear Dun: In accordance with AMC 15.65.030.D.4 a, b, c, d, we are providing the narrative description for the proposed improvement. The probable impacts to adjacent properties for this development is minimal. Lot 15 is on a gradually sloping hillside (±6%) with birch, cottonwood and alder vegetation. Subgrade soils appear good, with the receiving layer being a sandy gravel capable of handling the flows anticipated. Adjacent properties surrounding the Dee Calvin site are undeveloped at this time. Probable impacts to adjacent property wells is negligible. Probable impacts to adjacent property wastewater systems is negligible. This property is approximately 3.6 acres und there is sufficient reserve space for additional leach fields, if required. The site is located on a gradually sloping (±6%) hillside. Impacts to any surface drainage will be nonexistent. An additional two vertical feet of soils information will be obtained during construction of the trench drains to verify suitability of the drain field. This information will be trunsmitted to your office. If there are any further questions, please feel free to contact me at 562-1830. Sincerely, Scott Hattenburg, P.E. Principal SLH:cbl:95-031 cc: Dee Calvin 139 East 51st Avenue o Anchorage, Alaska 99503-7205 · Phone: (907) 562-1830 , Facsimile: (907) 562-1831 \ \ \ / I I / 1 / ! / LIMiTED~~ 723 West Sixth Avenue Anchorage, Alaska gg$01 SURVEYORS PLANNERS PROJECT MANAGERS PERFORMED FOR DATE PERFORMED SOILS LOG PERCOLATION TEST 7 SLOPE 10 11 12 13- 14 15 16 17 18 19- 20- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? PERCOLATION RATE' /~'~' ~ ~' {mi,,ule$/,nchl TEST RUN BETWEEN ~'~ . FT AND ~,O FT ~501 ENGINEERS SURVEYORS PLANNERS -- PROJECT MANAGERS LEGAL DESCRIPTION: DATE PERFORMED' SOILS LOG PERCOLATION TEST 1 2 3 4 5 6 7 8 9- 10 11 12 13 14 15 16 17 18 19 20 SLOPE SiTE PLAN WAS GROUND WATER S L; ENCOUNTERED? ~ O IF YES, AT WHAT DEPTH? Reading Date Time Time Water Oro~ ~ 5;o~ /o ~,~ I ~/~ ~ .... ~:/~. ~o ~,~ ...... J~G ..... PERCOLATION RATE TEST RUN BETWEEN ~ ,~/~_ FT AND ~" FT ~o~ ~ m ~ 10D700', ~ 329.16' 5Q' ~LM ROAD & UTIL ROW ~g~ o~>~=z"~ S 01~24'00'' W 533.83' (PLAT) .q.~o ~}~l~O N 01~6'48'' E 333.52' ~oB o i~ ~0~ ~ ... = ~_ ~ ...~,~ :~=oa~-~°~o~z<~ ~ ~o 07~--...~ :j :: ...-'~~