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HomeMy WebLinkAboutT12N R4W SEC 11 W2NW4NE4NW4NW4 - 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: .~L.,O ct& ~c~ ':~ PID Number: C~ t2_- ~ ~ ~.~ %~ ~1~ ;~ ~t~ Wastewater System: ~New ~ Upgrade Address: = ~o ~.~ ~, A~¢¢ Ak ~9~ ABSORPTION FIELD Phone: ' ~ No. of B~rooms: ~ Deep Trench B Shallow Trench D Bed B Mound D Other Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION /,'2~ ,pD/sq. ~. Lot: Block: Subdiv~ion: Depth lo pipe bottom from original g~ade: Gravel depth beneath pipe Township: Range:~ J SectiOn: Fill added above original grade: Gravel length: Gravel width: Number of lines: Oistance be~eenlines: WELL: ~'New ~ Upgrade ~ Ft. ~ '~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: ~ t~ ,~'~ ~ ~ ~ Ft. ~ Ft. ~--~-~ SQ. Ft. Driller: Date Drilled: StaticWater Level: Installer: Date installed: Yield: Pump Set at: Cssing Height Above Ground: ¢ ~ cPU Ft. ~ Z,~ ~t. TANK SEPARATION DISTANCES ~Septic U Holding U S:T.E.P. From Tank Field Station Tank Sewer Lines ~) ~ ~,~]~ WelF IOO~ t¢~~ ~A ~/~ lo~~ Material:~T~L Number°fO°mpadments: 8udace Water /~ Z¢¢* ~[A LIFT STATION Lot Size in gallons: Manufacturer: Line ~ [~ ( ( I ~/t' Foundation ~ I ~t: ~ Cu,ain Drain ~ ~/~ ~ __ [ ~e,~ I /.~ IEl~trical I~spgcti°ns ped°rmed by: Remarks: ., Location a' Inspections pedormed by: ~'~-~/~w~/-i~t~,~, Date .~: Bopartment of Health an~ ~uman Reviewed and approved by: ~ ~ 72-013 (Rev, 9/91) MOA 25 AS-BUILT/ t ........ ~A~TE~ATER ABSORPT*~ON SYSTEM '] Nel~ors systems ~ / /'7~ ?ro~ proposed we(L I~ Neibmor~ systems ~ ] Wetl ore~eF ~han 100' New Ve[[ / ~ii I ~LLon Septic' ~ 0 Test I I>1~ 1 No worts within ~-~x i100' oP p~oposed i :septic system C,O, A ~n~ c.~vor~w~N~a.~w9 ~ 48,9' 48,8' Selfs= 4 47.6' 58,9' 500 SF Rqd ~%~;.. .-.~.~e~ 5 47,8' 58,7' AS-~U~LT~ 5' ~[ 49~, ~ ~, 7 65,9' 93,8' ~lde, 55' Long J"'"~ ............. ~ .................... '~'"'"~ B 80.7' 118,0' TO~[ Absorption = 550 s? . . ............... ,..~...~ ~[~r~: PO~, ........... **~'-,.~23 ,.,*~ P,D, ~°x '~O~'~ , ANCHORAGE, ALASKn 09514 ~,~*~ (:907) 34~;&~3:,~ ~, 5-as-e~ ] ~S~LT a ~AA~ ' , , ,, gCALE~ 1'=50' ,,, .... A -BOiLT ~/~TE~/~TE~ ~I~TInN SY~TEN E1/~NVI/4NEI/4N~II/4N~/i/~ ?I~N, R4~/~ $11 z 3E¢~.L BD~NO~ pREPARED 'FOR, Mr, I)~V(d Arbuck(e P,D, Box 2P0954 (907)' 349-6443 P~nnone Eng, Svc, P, O, BOX 14EOE5 ANCHDRASE, ALASKA 99514 ]74-030B~ ~TE-~E18, FAx IDT TD $CALEI .~ Rick Mystrom, Mayor ' Mnnic pal y ofAnchoeage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 March 28, 1997 David & Sherrie L Arbuckle 7517 Basel Street Anchorage, Alaska 99507 2766 Subject: T12N R4W Section i1 W½ NW¼ NE¼ NW¼ NW¼ Permit #SW960037, PID #012-242-05 The subject permit, issued March 28, 1996 by this office for a single family well and/or on-site wastewater system, has expired as of March 28, 1997. 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: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. J~es Cross, P.E~ / P~ogram Manager On-site Services enc: Copy of Permit cc: Steven R. Pannone, P.E. MUNICIPALITy OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.d. BOX 196650, 825 "L" STREET, ROOM 502 · ANCHORAGE, ALASKA 99519-6650 ~ 'i ON-SITE 'WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT~NUMBER:SW960037 DESIGN ENGINEER:STEVEN R. PANNONE OWNER 'NAM~:ARBUCKLE DAVID & SHERRIE L OWNER ADD~SS:~.O. BOX' 220954 .ANCHORK©E, AK. 99522-0954 PARCEL ID:01224205 PAGE 1 OF DATE ISSUED: 3/28/96 EXPIRATION DATE: 3/28/97 LEGAL DESCRIPTION: T12N R4W SEC 11 W2NW4NE4NW4NW4 LOT SIZE: 49500 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION 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!1 AND 15.65 AND ~HE. STATE 'OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AACT~) ~ND DRINKING WATER REGULATION~ (18AACS0) . 3. THE ENGINEER MUST NOTI~Y QHHS~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 ~UST BE EITHER: A. OPENED AN~ CLOSED ONiTHE SAME DAY B. COVERE~, SEALED AND~HEATED T~ PREVENT FREEZING 5. THE FOLL6WIN~ SPECiaL PROVI'~ION~. SPECIAL PROVISIONS: Steven R. Pannone, P.£. Coasalt/ng Engineer ~907) 272-8218 March 18, 1996 P.O. Box 142025 Anchorage, Alaska, 99514 (907)272-8218 Fan Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: W1/2,NW1/4,NE1/4,NW1/4,NWl/4, T12N, R4W, Section 11 Well and Septic Permit Request. Gentlemen: In October of 1995 1 was contacted by the Owher of the lot described above to investigate installing a septic system and well on his lot. I conducted a soils investigation on October 22, 1995. Thc soils log and percolation data is attached. Well graded sands was discovered under a foot of organic mat. The soil· perced at four minutes per inch. This rate is consistent with surrounding pete data. ^ primary and s~w, ondmy system canbe installed within the t~st pit radifls. The proposed system iv&tld have seven feet of effective absorption area, with a total depth of eleven fee{. The ~ystem will be forty feet long and two fed wide with four feet of cover. A new 1250 gallon septic tat~c will be installed to serve this system. Tho prnposed well will be drilled on the northern portion of the lot, while the septic system will be installed on the southern portion of the lot. The lot is approximately an 1..25 acre.s in s ,k.e. l~t sloP~es to the southeast at a rate of approximately one to three percent. The proposed mstalla'tton v~ll I~e located greater than 100 feet away from tho proposed and existing wiffis and 25 feet from the water service lines. The smmunding systems are located greater than 100 feet from the proposed installation. Both neighbori~!g wells are located greater than 100 feet from the proposed system. Installing this systeni will not effect any surrounding systems or wells. If yon have any questions about the proposed installation, please contact me at 272-8218 Steven Ri C:~WORKkW2NW4. LTR 2R, House 40 L,F, New 1250 g0,[[om Se; T:mE, ~t~cememt ~o wefts within 100' o? proposed septic system Exls-U t Se~lc C'\~/ork\~EN~VE,dwg 49'm R, Pannone 8149 PREPAreD FO., Mr, D~vld ,Arbuckte iAnchor~go, AK !(907) Soils= 125s?/br 4 Bedroom House 500 gF Rqd -~ ~ESIGN, 7' E??ec~tve '!1' Total Depth 2' ~l~e, 40' Long Total AbSorption = 560 sF --'J P nnone"Eng, Svc, I P, D, 9DX 142025 IANCHO~A6E, ALASKA 99514 ~J__~.Z_~-BelB, 27~-8~8 FAX J~ATD 3-1&-96 ~F~T~. ---- mcALD_i~so, .... uN DESIGN']DETAILS ~/A~TE~/ATER Ai~SI]RPTION SYSTEM V~/2NVII/4NEI/4N~I1/4N~II/4 T18N, R4;¢, Z W PREPARED FOR, Mr, I)c~vld Arbu~kle Ancho~,~.ge, Al< 995z. z- (907) 349-6443 P:nmone Eng, Svc. P, 0.. ~OX 142025 ANCHORAGE, ALASKA 99514 8218 3-~6-96 DESIGN Municipalityq~! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, AnchorageI Alaska 99502-0650 SOILS LOG -- PER~OLAT ON TEST ~ PERFORMED FOR: *--~)~I~VI'I~ ~'~T'-~'~C~L~ t~4~hGLO DATE PERFORM[ 1 2 3 4 5 6- 7 8 9 SLOPE SITE PLAN ,,k I .~' ~R,t,,u~ ------------------~ ~'-' Bt, N 10 11 13- 14 15 16 17, 18- 19 20 WAS GROUND WATER L ENCOUNTERED? /~ (~:~ ~ .~ S E Deplh to Water Aller ., Reading Date Gross Net Depth to ~. , Net Time Time Water ~. Drop PERCOLATION RATE /7/ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~__ FT AND "~ FT PERFORMED BY: .-~,~[~'~.~J,'~/~' ~. /~, ~ I ,, ,,~---~'~.-----'--.-~--- CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ?2-008 (Rev. 4/85)