HomeMy WebLinkAboutT11N R3W SEC 3 BLM LOT 1 AKA PARCEL 16
NAME
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAl. PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Tele~hone 264-4720
ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELl~ INSPECTION REPORT
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
Manufacturer
Length of each line
NO. of lines
Top of tile to finish grade~
Length Width
~1Abs°rp~n area~7 /
Inside length
Foundation
Total length~es
Material beneath tile
Depth
[~UPGRADE
IDwelling ~O !
IMateria)
INearest lot line~.~!
Tre n c~,~wgt h inch es
NO. OFBEDROOMS
PERMIT
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO. ~:~/~'~///--/5--
Distance between lines
Total effective absorption area
PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot line PERMIT NO,
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS ·
SOIL TEST RATING
INSTALLER
REMARKS '/ /'
APPROVED
DATE
LEGAL
72-013 (Rev. 3/78)
I- ,_,' Rfq I T NO~
DEF'RRTMENT ~]~-~.~HEFILTH RND EN'¢ I RONHENTRL F/~?'FECTI ON
825
264-4728
E:~0445 >
APPLICANT
L. OCRTION
L. EGRL
RICHRRD BUSK
OFF OLD SEWARD HWY
LOT ~. SEC ~ l'itN R~W
PO BO~i 9?±
LOT SIZE
~44-±~26
87128 SQUARE FEET
TYPE OF SOIL. ABSORPTION SYSTEM IS: TRENCH
MR'XIMUM NUMBER OF BEDROOMS = --,':
SOIL RATING (SQ FT/BR)= 175
THE RE6~UIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF' THE TRENCH OR DRRINFIELD.
'THE DEPTH OF' R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS; THE MINIMUM DEPTH OF' GRAVEL BETWEEN THE OUTFALL RIPE
AND THE BOTTOM OF THE E::<CRVBTION (IN FEET).
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF' RESIDENCES THAT THE WELL WILL SERVE.
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
~E4¢9 FEET FOR FI PRIVATE WELL OR %5E~ ~0 20E~ FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIV~BTE SEWER LINE IS 25 FEET RN[:'
TO R COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE RE6,!UIRED AND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ]:0 DRYS
OF THE WELL COMPLETION.
OTHER RE6!UIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTRLLATION.
I
1:
FORTH BY THE MLINICIPRLITY OF ANCHORRGE.
2: I WILL INSTALL THE SYSTEM IN RCCOR[:,ANCE WITH THE CODES.
~:: I UNDERSTAND TNAT THE ON-SITE SEWER SYSTEM MAV REE,~UIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3: BEDROOMS.
S' I ~_~NE[.~: ~__~~-~'' ............ RPPLICANT RICHARD 8USK
..,_ .
I_,:,LIE[ .......... DATE ......... V4. E~
CERTIFY THAT
I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
HEAl_TH
z~<,__ AND ENV I RONMEN]`'AL ~"~'~3'I"EC:'I" I ON
B;~5 '",_ STREET., ANCHORAGE., AK.
PERMIT NO.
APPL I C:RNT RI CHRRD .P, LIS K
t..OCFITION OLD SEWRRi!~: HWY
I_EGFIL T:'I.:I.N R_Z~:W SE_£: ~:
I"YPE OF SOIL AF:;SORB]`'ION SYSTEM IS:
MFIXIMUH NUHBER OF BEDROOMS = B
P. O. E,U,,., ... ,' J- RNCH
[.BT _
TR. ENCH
24.S 2%50
200(~0EI Stl)IJFIRE FEET
SOIL_ RATING <SQ FT,-"BR)= '175
]"HE REf~UIREr.) SIZE OF ]'HE SOIL ABSORPTION SYSTEM IS:
]*HE LENGTH [)IHENSION IS ]'HE LENGTH (~tN FEET) OF 'THE TRENCH OR DRAINFIE[..D.
THE DEPTH OF R TRENCH OR PIT tS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BO]"TOM OF THE EXCAVATION (IN FEE]').
THERE tS NO SE]'' WIDTH FOR 'TRENCHES.
THE GRAVEL, DEPTH IS THE MINIMLLM BEPTH OF GRFIVEL BETWEEN THE OU]`'FRLL PIPE
AND THE BOTTOM OF THE ENCBVRTION (IN FEET).
PAl:: P.-:;I--:IC. iE PL.i:-:iP-,I]"' [L-tF'T' I Cji'4
FI F'FICKRGE Pt.FINT MFIY BE INSTR[LE[:' RT ]"HE PERMITTEE"S OPTION SUBJECT TO THE
FOLt...OWING CONL)ITIONS:
i. EITHER B CLASS I OR II NSF APPROVED PLAN]`' MFIY BE tNSTFILLEB.
R. FI CONTINUOUS MRIN]'ENANCE AGREEMENT IS REQUIRED. IF FI MAINTENANCE
AGREEMENT IS NOT KEPT CURR. ENT YOU MFIV BE RE~Z4tJIRE[) TO ENLFIRGE THE: SOIL
FIBSORPTION .'.'_4'¢STEM FIN[:'/OR N-'OU MFIY BE SUBJECT TO PROSECUTION.
BACKFILLING OF ANY SYSTEM WITHOUT FINAL_ INSPECTION AND APPROVBL BY THIS
DEPARTMENT WILL. 8E SUB..IECT 'l'O PROSECUTION.
MINIMLJM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWFIGE ,DISPOSAL SYSTEM IS
:t,~C~ F'EET FOR FI PRIVATE WEI..L OR 2ECE4 FEET FOR A PUBLIC WELL.
WELL l.,Ot]};S ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN .'7~;C4 DAYS
OF THE WELl.. COMPLETION.
OTHER REQUIREMENTS MAY FIPPLY. SPECIFICATIONS FIND CONSTRLICTION DIAGRFIMS FIRE
RVFIIt_FIBLE TO INSURE PROPER INSTALLATION
I CER-FIFY THAT
:i.: I AM FRPIlI..IRR NITH THE REQUIREMEN'I'S FUR ON-SITE SENERS AND WELl ..... AS
FORTH 89 I"HE MUNICIPRLI]`'Y OF HNL. HLRRbE.
-*,,~] *,. - ...... , - ~.-
R: I WILl. INSTAll.. THE bT_TEll IN RCCt.;RDHN....I= WITH ]`'HE COl)ES.
~:' I LIN[)ERSTFIN[) THAT THE ON-SITE SEWER SVS'f'EM r,'IRY REE!UIRE ENI_RR. GEMENT IF THE ~ ~,
~E'~I'DENE'E T¢ REI"'F)E ?' TO INto DE MFRE THRN 8 BEDROOMS. ~{~%%t~
APPL_ ~::ANT RICHARD E, LISK .. .
January 5~ 1978
Richard Busk
Post Office Box 971
Anchorage, Alaska 99510
Subject: ~llN R3~ Section 3
Permit -~77610
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Health and Environmental Protection
Sewer and Water Section
CL:\SSI t'IC:VF1OX~
CONSISTi:NCY AXD ..~
C I,,'xS¢IVIC:\TIOX: Idt,ntificatio~: and classification of the soil is accomp!ished in -
,~cc~q'~!,mcc wi t h thc I'niGed So~ Classificaeion System. Normally~ ehe gra~ size
di~,'.vilmti~,n d~.ttrmh~:-clas¢ification of the soil. ~D~e so~ isdef~ed according to
maj~,r and mh~or con~tituent~ with the mh'~or element~ serv~g as modifiers o~ the
re,flor ekm~t:nts. }L>v cohesive soils~ the clay becomes thepr~cipal noun with the
edger meier s~3ilcon~ti~uenC~usvd as modifier:i.e, silty clay, when the clayparti~les
an, such that thc clay dotnh~aee~ soil properties. ~l~or soil constituents maybe
add,,d to the clas~i(icationbreakdown in accordance with the particle size proportion
listed b~:low: i.~. sandy silt w/gomegravel, trace clay.
no call - 0 - 3% ~race - 3 - 1273 some - 13 - 30%
SOIL CONSISTENCY- CRITERIA: Soil consistency as defLned below and determined
by normal field and laboratory methods applies only to non-frozen material. For
these materials,- the influence of'such facto{'s as soil structure, i.e. fissure
systems, shrinkage cracks, slickensidcs, crc., mugt be taken into consideration
in making any correlation with the consistency values listed below. In permafrost
~ones, the consis.tency and strength of frozen soils may vary significantly ,md
-unexplainably with ice content, thermal rcgi~ne and soil type.
Cohesionless
N'" i~olows,"f t ) Relative Density
Loose 0- 10
Medium Dense I0 -, 30
Dense 30 - 60
Very Dense - 60
*Standard Penetration "N":
0 to 40%
40 to 70%
70 to 90%
90 co 100%
Blows per foot of
a 140-pound hammer falling 30 inches on a
2-inch OD split-spoon except where noted.
.C.' ohe siv .e.
T - (tsf)
Ve~-y Soft
Soft
Stiff
Firm
Very Firm
Hard
0 - 0.25
0.25 - 0.5
0.5 - 1.0
1.0 - 2.0
2.0 -4.0
-4.0
DRILLING SYMBOLS
we: Wash Out WD:
WL: Water Level BCR:
WCI: Wet Cave In ACR:
DCh Dry Cave In AB:
WS: While. Sampling TD:
Wl~ile Drilling
Before Casing Removal
After Casing Removal
After Boring
Total Depth
Note: Water levels indicated on the boring logs are the levels measured in the
boring at the times indicated. In pervious unfrozen soils, the indicated elevations
are considered to represent actual ground water cond{tions. In h-apervious and
frozen soils, accurate determinations of ground water elevations cannot be obtained
within a limited period of observation and other evidence on ground water elevations
and conditions are required.
~ :~' ~ Pti C ROcK ~ SILT GRADING TO
CLAY ~ CONGLOMERATE ~ METAMOR , ~ SANDY SILT
r sANDy GRAVEL~
S'LT ~' SANDSTONE g ICE, MASSIVE ~ SCATTERED COBBLES
Sh ....
SAMPLER TYPE SYMBOLS
1.4" SPLIT SPOON WITH 47# HAMMER
1.4" SPLIT SPOON WiTH 140# HAMMER
25" SPLIT SPOON WITH 140# HAMMER
25" SPLIT SPOON WITH ~40# HAMh~ER
20" SPLIT SPOON WITH 140# HAMMER
1.4" SPLIT SPOON WITH 340# HAMMER
25" SPLIT SPOON, PUSHED
TS .... SHELBY TUBE
Tm .... MODIFIED SHELBY ;TUBE
Pb , . . ; PITCHER BARREL~
Cs .... CORE BARREL WITH SINGLE TUBE_
Cd .... CORE BARREL WITH DOUBLE TUBE
Bs .... BULK SAMPLE
A ..... AUGER SAMPLE
G ..... GRAB SAMPLE
HS .... 1.4" SPLIT SPOON DRtVEN WITH AIR HAMMER
HI . . ; .. · SPLIT sPOON DRIVEN WITH AiR HAMMER
NOTE: SAMPLER TYPES ARE EITHER NOTED ABOVE THE BORING LOG OR ADJACENT TO IT AT THE RESPECTIVE
SAMPLE DEPTH.
SAMP£ER TYP£~,Ss
VIA TER
GRA DA TIONA t
Ss
FROZEN
TYPICAL BORING LOG
BOR//VG NU,"/IBER'.-~,.T. H. ;~0- 15 Elev. :>74 6 ..,e.--ELEVATION IN FEET
Ss,~..SA~P£ER TYPE
DATE D/?ILLED--.~,.IO_ 21. 70 All Somples
. ORGANIC MATERIAL I'
Cons~d Visible Ice ICE+~L
CE~ SILT '
Estimote 65 ~o V~sib e ce
90, 56.~%
SANDY SILT
Little to NoVisible Ice 15'-50' Vx ~ICE, DESCRIPTION ~ C~IFICARON
~ 72 5~1%,859~c~, ~8~ GP (CO~P~ OFENGZN~S METN~)
~ ~ ~ -- DBY DENSITY
~ 'BLOWS/FOOT
'SAMPLE NUMBER
SANDY GRAVEL
26'
Cd 95 SCHIST ~ GENERALIZED SOIL O~ ROCK D~SCRIPTION
~AMPLE LOCATION ~0 ' ~ DBIL~ DEPTH
DRILLING, AB- AFTER BORING
LOCATION S YJ.'TCI 1
Lot i, Sec. 3, TllN, R3U,
Seward :]eridian~ Alaska
Distances shown are approximate
and have not been measured by
surve},ing methods.
Not to Scale.
TEST HOLE NO.
Scale: 1"=3 ~
SILT w~ TPe%CE TO SO:iE
SAND AND G~A~L (~L)
Scattered Cobbles'
SAND (G~4-ML)
20'T.D.
This log depicts subsurface soils observed
within the test hole at the location shown.
See Drawings B-01 and B-02 for explanation
of symbols.
RICHARD BUS~
TIF1E
TIFLE
INC~LES
DROP I~;(~I FICHES