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HomeMy WebLinkAboutT12N R2W SEC 30 W2NE4NE4NE4SE4 Municipality of Anchorage Page __l of 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: ~NcC~'JOZ~ PID Number: 02102209 Name: Wastewater System: D New ~ Upgrade Address: ABSORPTION FIELD ~C~O~ ,, ~ ~/0 ~d ~ DeepT~ench ~ ShaliowTrench D BoO ~ Mound ~ Other Total Depth from original grade: LEGAL DESCRIPTION s°"'""~"~: ¢.~/sq. ~. Township: Range:~ ~ ~ Section:~o Fill added above original grade: Gravel length: WELL: ~ New ~ Upgrade Gravel width: /~ Ft. Number of lines:~ Distancebetweenlines:~ ~ Ft. ~l~ssification {Private, A,B,C):&-X/~3% Total Depth: Cased TO: Total absorption area: Pipe material: ~IV~ ~J~ Ft. ~/~' Ft. ~ SO. Ft. ~ ~/ ~V.~, Driller: Date Drilled: Static W~ter Level: Installer: Date installed: Yield: 1 Pump Set ah Casing Height Above Ground: TANK ~.O GPM] {~/~ Ft. SEPARATION DISTANCES ~opticgx/Er/~¢ a Holding ~S.T.E.P. To Septic Absorption LiFt Holding )ublic/Pdvate Manufacturer: Capacity in gallons: Number of Compadments: Sudace '. ' '¢ LIF'r S'rATION Water /~ /0~ ~ LOt Sizein gallons: Manufacturer: "Purnp on" level ah "Pump off" level at: High water alarm at: Curtain Pump Make & Model Electrical Inspections performed by: Remarks: BENCH MARK Location and Description: Assumed Elevation: 17034 Eagle River Loop Read, No. 20~ ' ...... Inspections performed by' .,,.. w. Ala.k. 99577 Dates 1st *-2q ~qff ~i:.;~ Department of Hea d or, ices ap_ ~. Reviewed and approved by/~'~~--/Date:~~ .... """-~ 72-013 (Rev. 9/91 ) MOA 25 Permit No.Sw94'0238 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICl-'S DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650, '['elephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report T12N, R2W, SEC.30, Wl/2 OF NE1/4, LegaIDescription~E1/4' NE1/4, SEI/4 PIDNo.: 02102209 CO1 C02 'EXISTING 1000 GAL SEPTIC TANK [~tPEBMEABLE GRADE _/94i1' 93.0 CO! 16a~ 15' CO2172X) C03175~ 16( C04 II12~18' MH MT4 [88~ [6~ NEW DISTRIEUTI~N EED MT3 INSULATION TOPSOIL & SEED - 99.5' GRADE IMPERMEABLE BARRIER D[STi PIPES L~ID WITHIN SEWER ROCK, fi' UNDER & OyER DIST. PIPES rOUND 500 GAL, S.T,E.P. SYSTEM 1250 GAL. INTEGRITY VERI[,'IED) f' =40' WELLe~ × --× EXIST, 2 BDRM HOUSE 100' WELL EADIU~ Commercial Testing & Engineering Co. Environrnental Laboratory Services ~'.~.~.~'.~'~r~'.~-.~'~'.~'~_a~-.~.a~j. ar~'jjjjjjjjjjjjjsjj Drinking Water Analysis Report for Total Coliform Bacteria READ INSTRUCTIONS ON REVERSE SIDE J3EFORE COLLECTING SAMP£E 5633 B Street Anchorage, AK 9951 8-1 600 Tel: (907) 562-2343 Fax: (907) 561 ~5301 MUST BE COMPLETED BY WATER SUPPLIER [] PUBLIC WATER SYSTEM I.D. # ~ [] PRiVATE WATER SYSTEM 0 SendR~xtdl$ [] Sendlnvoice [] Send Results [] Send lnvoice Month Da)' Year SA/~v?.LE TYPE: ~ Routine [] Treated Water [] Repeat Sample (for routine sample [] Untreated Water ~Sth lab ref. no. ) Q Special Purpose Time Collected Collected By TO BE COMPLETED BY LABORATORY .f~alysis shows this Water SAMPLE to be: Satisfactory [] Unsatisfactory [] Sample over 30 hours old, results may be unreliable o Sanaple too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delN~ly mail. Date Received '7~Z~/' Time Received ! ~::~ __ Analysis Began Analytical Method: ,~Membrane Filter £1 MMO-MUG * Number ofcolo~fies/100 nfl. Lab Ref. No. Result* Analyst Sent to A.D.E.C. ~ Fbks Jun Client notified of unsatisfactory results: Phoned Spoke aSth Date: Time: Faxed Faxed BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-MUG Result: Total Coliform Membrane Filter: Direct Count Verification: LTB Fecal Coliform Confirmation Final Membrane, S.Filter Reported By E. Coli Colonies/100 mi BGB COLIFI~M Coli fo,,,rm/1 O0 mi Member of the PART ONE OF TWO: REMAINDER TO FOLLOW CT&E Ref.# Client Sample ID Matrix Commercial Testing & Engineering Co. Environmental Laboratory Services LABORATORY ANALYSIS REPORT 94.3851-1 W1/2,NEI/4,NE1/4, NE1/4, SE1/4,* WATER ClientName S & S ENGINEERING WORK Order 80806 Ordered By iHS Printed Date 08/02/94 ~14:55 Itrs. Project Name CollectedDate 07/29/94 @ 14:10 hrs. Project# Receiv exl l-Yat e 07/29/94 @ 16:00 hrs. PWSID UA Technical Director S'I~PHEN C. EDE Released B~ ~=~ S m n p i e Rem a~l~ -- - ~b-l~..~]~ -8~-I~L-E~ bL] :F~ U~1~ B-B~: -~ :s~:; ~ ~ ~(y,V~l~ff ~ ~. ................................ Qc Allowable Ext. Anal Parmnetcr Results Qual Units Method Limits Date Date Init * See Special Instructions Above UA=Unavailable ** See Sample Remarks Ahoy e NA = Not Analyzed U--Undetected, Reported vahe is the practical qmntification limit. LT= Less 'lhan D -Secondary dilution. Gl'= Greater Than 5633 B Street, Anchorage, AK 99518-1600 -- Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 995]_9-6650 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940238 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:FROMM ALFRED J & OWNER ADDRESS:.O. BOX 1253 ANCHORAGE, AK 99510 DATE ISSUED: 7/14/94 EXPIRATION DATE: 7/14/95 PARCEL ID:02102209 LEGAL DESCRIPTION: T12N R2W SEC 30 W2NE4NE4NE4SE4 LOT SIZE: 54540 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1 2 3 4 5 THE ATTACHED APPROVED DESIGN. 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 (iSAAC80). THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION, PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM U-NDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE BASAL BED MUST BE NOT LESS THAN 50 FEET FROM A 25% OR GREATER SLOPE RECEIVED BY: ISSUED BY: ~~Y~/// / DATE: DATE:,~ . ROBERT SHAFER, P.E. ROGER SHAFER, P.E. July 1, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTHAUTHORITY APPROVAI.S SEWER&WATER MA~N EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELLINSPECTION & ELOWTEST SITE PL,%NS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL iNSPECTiONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: W½, NE¼, NE¼, SE¼, Section 30, T12N, R2W Request you issue a permit to upgrade the septic system serving the two bedro~mhouse on the referenced property. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the test hole has been checked and found to be dry. Attached is the proposed upgrade design. 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. ~Since~lY' ,/~u/jk 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 J NYqd 3.LIS[ 0 I_~J O'3 I 'S'l'N O(q-SI~ WASTEWA'I'~R DISPOSAL SYSTF~4 CONS~CRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: W%, NE¼, NE¼, SE¼, Section 30, T12N, R2W The scope of this project includes the installation of a 500 gallon septic tank effluent pumping (S.T.E.P.) system and a pressurized absorption bed to serve the two bedroom residence located on the referenced property. The existing leachfield is to be abandoned in place. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property o%~qer shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Page ~o W~, NE¼, NE¼, SE¼, Section 30, T12N, R2W July l, 1994 Septic tanks installed with less than 4' of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10' from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. PRESSURIZED MO(]ND S~STEM INSTALLATION: 1. Any peat or organic matter must be removed from the elevated mound site. 2. The bottom of the basal bed area as well as the top of the sand filter is to be within two inches of level. 3. The distribution piping is to be of PVC (ASTM D3034 or equal). Ail joints are to be solvent cemented. 4. The side slopes of the top layer of the mound system must not be steeper than 33% (3:1). 5. The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. The distribution pipes are to be embedded in sewer rock. Care should be taken to backfill in such a way as to prevent damage to the piping system. Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. Page Three W½, NE¼, NE¼, SE¼, Section 30, T12N, R2W July 1, 1994 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: ~pe of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM FS10 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSP~IONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. Page Four ~ NE¼, NE¼, SE¼, Section 30, T12N, R2W July 1, 1994 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 2 9- 10 11 12 13 14 15 16- 17- 18- 19 2O ENGINEER'S SEAL Township, Range, Section: SLOPE /~ -~ E-'-~ WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth Io Water Alters_ MonitorinD? /)lL~/ Date: Reading Oate Time Net Time Depth to Water Net Drop PERCOLATION RATE ___L~__ (m~nutesnnch) PERC HOLE DIAMETER ~ TESi- RUN BETWEEN ,~AND C{ FT COMMENTS ~'~-~' ~[ I~NO~ ~ ~R // /~ ~ s - PERFORMED ~0~ Ea~Je River I ~,=~ F3C, 2~ ~// / ~ ~Y Eagle River AJask, 7 -- · -- ~ THAT THIS TEST WAS PERFORMED IN MUNICIPALII'Y OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchora§e, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LOCATION _~ I D ISTANC~ETO~ ~0~~' J Absorptionar.~ Dwelling F- ~ Manufacturer / / ') c'Y'~ [ IF HOMEMADE: Inside length Material NO. OF BEDROOMS PERMIT NO. Liquid depth PERMIT NO. Liquid capacity in gallons Well ~/-- Nearest lot line DISTANCE TO: Length Type of crib Crib diameter Total length ~,| f ~Q I~aterial benin ~ tile ..-;?~ !~. ~..~ It inches Depth Crib depth Total effective absorpti~ DISTANCE TO: Well Building foLmdation Nearest lot line 01ass Depth Driller Distance to lot line DISTANCE TO: Building foundation Sewer line Septic tank OTHER SOIL TEST RATING PERM NO, · Distance LEGAL LOT .. I,..E. I'lFl:qIHl..ll,1 1"4UI.tI~;EI,~! OF DEDF~:OI.:;~H2; = ]"HIE; L.EF,IE~TH DIMEN:i!!;ION IS THE LENGTH ,:.'IN F'I,EE'¥'.':, OF THE 'TRENCH OR DRRINFIEL.[:,. -f'ltE DEPTH OF' R TRENCH OR P~T ZS THE B,[STRNC:E IgETI.,I.EEN THE ~LIRFRCE OF :I"HE GROUND RND TFIE BCmTTOH OF THE E','4CFWRTI'ON (ZN FEET). THERE :[E; NO SI'ET HIDTFI FOR TREI'4CHES;. THE: GfE:R',/EI.. DEI::'TH IS THE I.'IIN~HUH DEPTH OF GRFIV[EL BE-FHEEN THE CILrTFRIJ_ PIPE FII'.,I[) THE BOTTOH OF' THE EXCRvwr:[ON (ZN FEET). F:'EI,:;:H ;[ T FIF'F'L I C:RI',IT I-4FI:;2; 'I"HE; RE:E;I,:'Cfl',,I:F..; I b i L I T"r' TO I NF'OIqff'i TH ibS I;)[:.'F'I::IRTf,iEI'.,IT t::,IJF;: :[ NG THE ............. ' ': ''" ~ IHI.:, F'I,~OF'ER"F'¢ I.:IND 'TI.-IE .I.i'.]::,IHL. LP I'];01'.1 ~tJ..FEL..'tI.IC=,. I_"IF' FIN'¢ I,.I[~:L.I...S Ri%'rRCENT TO ..... I',IUi'"IE:F'I,;~' OF: F',[=::,],L E.F, It.E.=, THFYi' THE .H[ZI..L 14ILl... E ..... I..I'-.t.I...L..[ ,1~] CIF' RI",I'¢ . r_.,lEtl H:["FHI.:~LIT FrZ[NF'II... II",!SPECTZ[':fi',I F'IN[:, RF'PROVFI[.. DEF:'FIFi:THli:~NT HILL E~E :,t..IE,.$E~.L.I ..... . - FHZ_.. I'"tli",IZI'IUH I::,ISTI,:II.4CE: BE:'I'HEEN F:I 1.4EI,..L.. Flhl[:, Rht¥ ON"-'SITE SEHFI(3E DISF'OSFIL E~'~"S'I'EI',i Ltl.:'l:.~fl'.,l 'Ir'H[.~: T'¢F'E O1,:' I::'l..l[:'¢l...IC: i'IINIMI...IH DI:;:;'t"F'INCIE F'I,:,:C$i FI F'RI',/F:fTE HI,SL.L "f'O FI PRI',/Fff'E! SEJ.,.IEf~ L:[i'.E£ :ES ~?X3 FEET FtND TO la C:OHI"IUI',IIT'.r' '=E.;EI.,.ti,~:ff;~: L. IIqE ~.'~-..; ;7!5 FEET. I,.I[i;L.I... I...OG~i~; KII:,~:I,E RIS6:!LI:[RE:L':, [:IN[:." i'"ll..LCi;T BE:: RI'ETI..IRIqE.'I)TI,3 THE DEPFIRTI'qlSi'.,IT I':)F THE 1.41,~:t...t.. L')'I.'H[ZI,,;: I'~!E((!U:[I';?.E:I"iENTS I"ll::I'.r' FIF:'PL'.r'. SF'EOZI':'ICFITZONS FINE:, CON:~T[;..'UI.::'Y}:OI',I FIVFI :[ L.I=IE~I,..F=': TO :[ I'.,ISq...I,q:E: PF,'OI,:'[EIR INS, TFIL. LF:IT Z ON. I I.::EI';:T];F:~'/ TFIFIT :l..: :[ FIH FFIHILIFIR I.,.IITH THE RE6!UIREHI,i;:NTq Fr'R " ...... Lf'l F..F~ I,H 'I"HI,E I"iUi',,tIC:ZPFIL:[T'¢ O1,:' Ir:li'.4C:HOF,;ff':i61E. .... I .t4];I..L " '= '- :'~": ..... ,' .I N..,'I iIL. L TI"IE ..., * =., I l:.l ~ ;[ N f~CCOF4:I.)FINCF: H ~ 'fH THE C:ODIS':~;. '*,: ]: Ui"IDEI';;:~:!;TFIND THFIT 'TI*It:;; ~ .... -' Jt 4'" .'=, :[ TE SEHER .:, * =,T['-fl HFFr' I:;:E"QU I RE !::NI.,,KIIRL~[~d II':l I r ]: F' THE I,..E:..:, :[ [. E,I ILk ]...., REHOE:,E:LED 'i.'O ];l'.,tC.:l_..l_tl;:,t.Z t','lOf~tE THFIi'.,I q: E,I.nL. RLL. H. ,. PO,_,,N' } 650 (90'/) 26.~ 411 ~ Febrnary 14, 1983 Alfred J. Fronm~ Post Office Box 10-1253 Anchorage, Alaska 99511 Subject: Lot 9 Upper Glen Alps Subdivision Enclosed is permit ~830063, which replaces permit #830060. R & M Censultants reperked the soils and a new rating of 115 was given. Please note the new dimensions on the permit. If /here are any further questions, please call this office at 264-4720. Sincerely, · / /."h ~ / / ' Principal Code enforcement Officer LL/ljw F'ERH IT ~ HERLTH FIND, EN',,,'IRONNENTRL .OTECTION ;;1:5 '"L'" STREET., FINC:HORRGE:, RK. 264-4?*20 820060 ) III, Fi.I_. I_OC:FF FtLFRED, ..T FROMM kO'_=.~ II '"' ' _FI-El;. GLEN ,FiM F'O E,:,, :1.0-1252 995i0 LOT::,I ~E'- ' TM '5"9';~'~'~'~ SQURRE FEET HE_ui;.P rlult _,~_,FEII I.:,: I"lFI;d I HUH [ILIt IE ER FJF' BEE:,ROOMS = ::: THE I;;E:QIJ I l;:EE:,_,':: ~l,z OF THE z,u Z L. ABL=,ORF']'' 1 ON ]"FIE LENGTH DIMENSION IS TI`iE LENGTH (IN FE~ OF' TFIE TRENCH OR DRFIINFiEL[t,. THI`£ DEF'TH OF FI TRENCH OR PZT IS ]'hiE C,I'E, Ti E:ETI.,.IEEI'.,I THE SURFFIE:E OF THE GROLIND RND THE BOTTOM OF THE EXCF~Vi=IT FEET). THL:: GRRVEL DEF'TH IS THE I',IINII`,IUI't DEF'~' GRFI'v'EL E:ETHEEN THE OUTFF:ILL PIPE RND THE BOTTOM OF THE ENCI%'ITI`'ION ,::Ii' '1'0 :NFORM THiS D'EF'RRTHEN-I .... , -' E _Il;. I I,IL~ THE RD, JFiCENT ]'O l I-ti.=, FI;_FEF..1 ¢ RN£:, THE HILL _,EF.., E. E:FIC:I<F ILL I NG OF FIN'[ _, T _, TEl I [:,EF'FIRTMENT HILL. [.E _,UE, JEI_.] TC MII',,IiMLIM DISTRNC:E BETHEEN Fi RND IqN~r' ON-SI'YE SEHFIGE DISPOSFIL SYSTEM t00 FEET F"OR FI PRI',,,'FITE HELl ±50 TO 200 FEET FROM Fi F'LIE,'LIC: HELL. DEPENE:,ING LIPON THE T"r'PE OF F'UE',L:[C I'IINZI"ILIhl DISTRI'-,ICE FROM Fi HELL. TO R PRI',,,'FITE SEHER LINE IS 25 FEET RI",ID TO FI COMMUNIT'.r' SENER IS 75 FEET. HELL LOGS RRE RE:L:'.!LIIRED h'lt.J'.::;T E:E RETIJRNEE:, TO THE I::,EF'RRTMENT HITHIN 2;0 [:'lh"r'S OF' ]'HE HELL CCIHI,:'LETION. OTFIER REL:!LIIREMEI',ITS I'"IFI~ RPPL'T'. L=,PEC:IFICFITIONS FIND CONSTRUCTIOi'4 DIFIGRRHS RRE F~VFK[LRBLE 'TO ZNSU,~i'.E INSTF~LLI;ITION. IFZ"EF4["t Z T' I CERTIF"¢ TFIR]" il.: I RI~q FFIMILIRR FORTH E:'T' THE I"IUi' OF FINC:FIORRGE. 2: I 1.4ILL INSTF THE S'¢STEM ZiW RCCORDI,:II',ICE 1.4ZTH THE CODE'_=;. Z.:.; Z UNDERSTRNC, THFFr THE ON-.L=,ITE SEFIER S'¢STEH MR'[ REQUZF..'E ENLRRGEMENT RESIDENCE Z:E; REMOE:,ELE:D TO INCLUDE I`,IORE THFIN ~: BEDROOMS. E REI.;!UIREMENTS F_IR LIN -,I]E : '- _,EI..tER_, FII'.4[:, I IE. LL:, FtS --,El MEMORANr~I.jM TO SUBJECT I::£o~M PX-I~h TEST DATE l~p-:.t LOT ¢) / VppF-/~ 6;LtF_-HN PROJECT 5'I/IH)IVIDoN i,'F-P'T/o P~I~M~'T' ]~EFLE-OT pEPTIc P£Ata/T 'T~' iR'hhA Co/oSuL'T/~N'TS ? /NC, 001~$0 [] SOILS LOG , PERFORMED FOR:_AL I- . ,: LEGAL DESCRIPTION:_~,~)T :: 1 : 4 · 5 10 11 13- 14 15 16 17 18- 19- 20- COMM ENTS__~ ~,~T' T#-z · MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS I~OG - PERCOLATION TEST , :: PERCOLATION TEST DATE PERFORMED:, · SLOPE -x \ SITE PLAN WAS GROUND WATER ENCOUNTE~ED? IF YES, AT WHAT DEPTH? Reading Date ,~ '~-7-~ PERCOLATION RATE TEST RUN BETWEEN Time I FT AND Depth to Water O 14.'t Z7 r, 14- ',~ Z~ 15 ' ¢o (minutes/inch) I~ FT Net Drop Net Time L~,T PERFORMED BY: 72-008 (6/79) CERTIFIED BY:. MUNICIPALITY OF ANCHORAGF DEPARTMENT OF HEALTH AND ENVIRONMENTAL. PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PFRCOLAI'ION TEST [] SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL OESCRIPTION: 1 2 3 4 5 6- 7 8 9 10. SLOPE SITE PLAN 11 12 13 14 15- 16 17 18 19. 20- COMMENTS TEFF /~o/_E I WAS GROUNO WATER ENCOUNTERED? IF YES, AT WHAT OEPTH? Reading Date 7 PERCOLATION RATE TEST RUN SETWEEN Time Net Time Depth to Water Net Drop CER-F,F,EDB¥: ,~lcH/)gO ,~, _EIE-5')EIPATE: 72-008 (6/79) , I 3 7 [o II IZ ] 1',o/ l ;31 15 13 ,3 b._._o IZ£FI~.Lt.:£ To ~ /,o __..38,0 4.5 ?£ rLc OL~T~o/q .© CLI£NT,. ~1. q- 0-BH I'tLp..s sul~olVtstoN ~ EL~P$£O Tlta£ J 7 ~3:4o II IZ 15 4,4/ 17 /~EFtt[r/~ 'i',~ 14- LOG OF TEST BORING Oo,e 8~g~,~_ Dale Completed Local ion ~ Melhod Used ~ll Field Par ty _~ Toto~ Depth JAg ]=_C~T~ f GROUND WATER TABLE -- Depth in zt. ,J~/ .---i----- [Dote LL' I "r-[ sod type, color, texture, N ' !,~? Itl', eshmated particle s~ze, ~ J sampler driving notes, * depths circulahon lost, T ~- bits used, eft ' Vegetation: Collar Elevation CE-5132 LOG OF TEST BORING ~ ¢ M CON SU LTANT$, INC, Wealher ~05T~.VDY ~_ 27'F So,I type, color, texture notes on drilhng eose. Location Diag rolm Itole No :2.. Sheet ~-~--- of -.--,~- .... Total Depth J~P.L~ ~ ~ P,~2T ~ ci.f~5,¢ ICE DESCRIPTION- I:I::IOZEN ICE NOT VISIBLE Poorly Bonded or Fr±ab]e Well Donded, No Excess Noisture (Nbn) Wet] Bonded, Excess Noisture (Nbc) ICE VISIBLE, <ONE INCH THICK Crystals (Vx) ]ce Coatings on Particles (Vc) Random or Irregularly Oriented Ice Formations (Vt) Stratified or Distinctly Oriented Ice Formations (Vs) *Specify either seasonal frost or permafrost, where possible SOIL CALL OUT MINERAL SOILS With >30% With Some 13-30% With Trace 4-12% No Call Out <4% ORGANIC MATERIAL Peat >50% Organic (Modifier) ]0-50% With Some ~-10% Witb Trace <4% No Cai], Out 0% DENSITY-NON FROZEN COHESIVE SOILS - THUMBNAIL TEST (H) Hard - Difficult to Indent (ST) Stiff - Readily Indented (F) Firm - Penetrated by Mod. Pressure (S) Soft - Penetrated Easily - Can be Remolded W/Light Finger Pressure COHESIONLESS SOILS (L) Loose 0-10 BPF (MD) Med. Dense 10-30 BPF (D) Dense 30-60 BPF (VD) Very Dense >60 BPF STANOARD PENETRATION TEST [S~') Blows per foot (BPF) of a 140 lb. hammer falling 30" on a ].4" (2"O.D.) split-spoon sampler (Ss). GRAPHIC Clay Silt (St) Sand (Sd) Crave~ (Cvl) -.002 mm, Nigh PI -#200, +.002 mm -#4, +#200 -3", +#4 Cobbles (Cbl) -12", +3" Boulders (Bldr) Organic (Ors) Massive Ice Ice Lens Ice Crystals >12" __>6" Thick 1-6" Thick Water Level (WD or AB) M OISTI,,I RE CONTENT-NON FROZEEN FINE GRAINED SOILS (VW) Very Wet > 40% (W) Wet 30-~0% (VM) Very Moist 20-30% (M) Moist 15-20% (SM) Slightly Moist 10-15% (D) Dry <]0% SAMPLE TOOL COOE Sb - 1.4 S.S. w/47 lb. SS - S1 - Sh - Sp - Hi - Pb - Cd - A - 1.4 S.S. w/140 lb. 1.4 S.S. w/340 lb. 2.5 S.S. w/140 lb. 2.5 S.S. w/340 lb. 2.5 S.S. - Pushed 1.4 S.S. - Air Hammer 2.5 S.S. - Air Hammer Shelby Tube (State Size) Mod. Shelby (State Size) Pitcher Barrel (State Size) Single Tube Core Barrel (State Size) Double Tube Core Barrel (State Size) 3.0 CRREL Core Barrel Auger, 36" Bucket, Cuttings, etc. Bulk Samples (100 lb.+) Percussion Drill Sample INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF. ' ,FdLLED AT THE RATE OF ,'~2'~,, O0 PEr FOOT. 375 Fee:L, 99510 .JCATION OF WELL BITE. " __ £VELL LOG: 0--, ~0' 29---37F' Bed~oc~. RE'CEI:X/Ei). COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS THANK YOU VERY MUCH. bERNIE CLAUS OF raMPaRT dRILLING WORKS DATE /2pA.&L ,21~.L~ 7983 SERVICE CHARGE OF 1~% PER MONTH WILL BE A.iSESSED ON P~~OUNT~, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # ~)¢-] ~ ~:~)~ CERTIFICATE OF HEALTH AUTHOF:IITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA#_ GENERAL INFORMATION Complete legal description W~ of NE~ of NE~ of SE~ of Set 30 TI2N, R2W Location (site address or directions) 13233 Glen Alps Road / ' ~-~/&./,,3' ~0 345-7670 Property owner ,/FROMM) /)L, FEb ~ Day phone Mailing address Lending agency Mailing address P.O. Box I012~3 Anghoraqe, AK 99510 Day phone Agent Les Sitter/ COLDWELL BANKER Address 4105 Tudor Centre Drive Anchorage, Unless otherwise requested, HAA will be held for pickup. NUNIBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: Day phone 561-2488 AK 99508 If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NO'FE: Individual on-site XXX Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Fronl MOA #21 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 S &S ENGINEERING Address ........ ~_ o:...., ~.-'D....~ EngineeVs signa~u~ ~~ DHHS SIGNATURE ~ Approved for Disapproved. bedrooms. Phone Conditional approval for bedrooms, with the following stipulations: Additional Comments By: Date ~~ The Municipality of 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 requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage,is not responsible for errors or omissions in the professional engineer's work. - - Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPFIOVAL CHECKLIST Legal Description: 5'E~ ) T/2/,J / /~-Zu,)¢ .%Eo, ~'~ Parcel I.D. A. Well Data Well type . Log present Total depth Sanitary seal (~N) If A, B, or C, attach ADEC letter. ADEC water system number yES Date completed LI -2¢ ~?~ Driller 31~' Cased to .~/5" Casing height Y~-~ Wires properly protected (~)N) yes FROM WELL LOG Date of test Static water level Well flow / ',/2 - 2. / Pump level1 0/F- / SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot /~o ' Public sewer main ,/'/~,',/~' Sewer service line g.p,m. AT INSPECTION 5'- -2~ - cji-/ ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ¢ ,/.~ / Nitrate Date of sample: o.~z ,~¢/z_ / __Other bacteria Collected by: B. SEPTIC/I~-~ffN~., TANK DATA Date installed b, - P- ~ - 9g Cleanouts (~N) High water alarm (Y~, Date of pumping Tank size /~ d-,,~ ~-. Compartments Foundation cleanout (~N) ~/~' Depression (Y,~ W,/~- Alarm tested (Y~) /e.-¢~/ ~ Pumper SEPARATION DISTANCES FROM SEPTIC/~ TANK 'TO: Well(s) on lot lcfii~ / On adjacent lots To properly line Zz' ¢ Absorption field Surface water/drainage ~ /OO / *' "--- Foundation ~ ' Water main/service line 72~026 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed ?. / _ Size in gallons Vent (Y(~) no "Pump on" level at High water alarm level Meets MOA electrical codes (~N) Manufacturer Manhole/Access (~'N) ~/~ Z ? .... Pump off" Level at /? Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot /~'?' On adjacent lots /00 ' + Sudace water D. ABSORPTION FIELD DATA Date installed ~' ~ / -~H Length ~/0' Width Total absorption area Soil rating (GPD/Ft2) 0. Gravel thickness Cleanout present (Y~) /Jo Date of adequacy test /,J~=-~u %'y~'Te-t'~ Results (pass/fail) ~ level in absorption field be or ~ After test Water Peroxide tre~12 months) (Y/~ ~,~ ~. .System type Total depth .~ ' Depression over field (Y~ Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots 6-O '~- Surface water On adjacent lots /Od ' e Property line .~' To existing or abandoned system on lot Cutbank ~-0 '* Water main/service line Driveway, parking/vehicle storage area Curtain drain ,Oo,ue- ~ow~J E. ENGINEER'S CERTIFICATION Signature //' / ~ -- Engineer'sName ~--~./ _ / , S & S ENGINEERING .~. / / Eagle Riv;r, Alaska r2~577 ' I -- HAA Fee $ ,~¢:P- ~ Date of Payment Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back FROM ED'S ELECTRIC INC. 3~8 COMMERCIAL DRIVE AN~CHORAGE, ALAe.~KA 99501 VALDEZ ANCHORAGF. (907) 272-45~)1 Fex 274-§265 AUGUST 09, 1994 S & S ENGINEERING 17034 EAGLE RIVER LOOP RD. EAGLE RIVER, AK 99577 SUBJECT: r. N ELECTRICAL WIRING LIFT SiATIOLS GLENN ALPS SUB. TOWNSHIP 12N THE ELECTRICAL WIRING ON SUBJECT ,JOB WAS DONE TO ALL STANDARD AND CODE --~IENTS OF THE MUNICIPALITY OF REQO~ '~ ANCHORAGE. ED STROUT OPERATIONS b~ANAGER EDS ELECTRIC, INC. APPLI¢' NT FILLS OUT UPPER HA' 'ONLY Mailing Address Buyer Address /-1 J: Zip Code Lending Institution Realty Co. & Agent Zip Code Zip Code Phone Type of Residence ([~Single Camily of Bedrooms__¢~_~ (~ Multiple Family No. _. [, Other Water Supply ~]'~ndividual ATTACH WELL LOG. A well i~g is required tor ail wells drilled since June 1975. F~ Community For wells drilled prior to that date, glee well depth (attach Icg if available). ~1 Public Utility Sewer Disposal IiCi'in d ivid ual [~ Public Utility ~q Holding Tank Year Individual Installed:1~'¢;'/~*'J_v~~-~ When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PRocESSING CAN BE INITIATED. Time Date Inspector Time ~ Time Time Cate Inspector Date Inspector Date Field Notes: // ~ DISAPPROVED CON D~ITIOF~AL APPROVAL' 'CONDITIONS OF APPROVAL tWell Log Received Septic Tank Size Soils Rating [)ate Sewer Installed Well To Absorption Area Well to Tank