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Home My WebLink AboutT15N R1W SEC 18 LT 38 Municipality of Anchorage Page I of '2- 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: --%'VV °,~' O'7--'7°* PID Number: ~ ~J ~ ~? Name: ',~-AO,,~,-; -~. 'lE),..yc~ Wastewater System: [] New ,~[,Upgrade Address: G~,.-~,-~ 1::~:,.~.~. G~,.&~-~o&, AY-.~qs~7 ABSORPTION FIELD LEGAL DESORIPTION SO,o,~sRating: GPD/Sq. Ft Total~.sDepth~from~ original~ ~Ggrade: Lot: Bl~ck: Subdivision: Depth t0 pipe bottom from original grade: Gravel depth beneath pipe ' ' ~ ~ Section: Fill added above original grade: Gravel length: Township:~S ~ ~~Ran~~ ~ t .~ Ft ~OO Ft. Gravel width: Number of lines: ~Dislance between lines: WELL: New Upgrade ~ Fi. ~~ ~ ~ Ft. Classification (Private, A,B.C): Tote{ Depth Cased TO: Total absorption area: Pipe material: Ft Ft. ~ ~ ~ SQ. Ft ~V ~ SEPARATION DISTANCES u Septic ~ Holding ~ S,T,E P Septic AbsorpHon L[fl Holding )ubHc/Priv¢te Manufacturer: Capacity in gallons: From Tank Field Slation Tank iewer Lines Well ~/ [ ~ ¢ ~ ~ ~ ~ ~.~ Material: Number of Compartments: Surface ,~4 1~.~ ~ ~ Water LIFT STATION Lot * / Size in gallons: Manufacturer: Line ~'~ Foundation ~¢ ~O¢ "Pump °n" level at: I "Pump °fi" level at: ~ High water alarm at: Drain I BENCH MARK ~ I Location and Description: Assumed ElevaEon: ENGINEER'S SEAL Inspections performed by: ~ ~. %~;~ Dates: l st q/~*/~s ~r:~ ........ m"W";',.' ~,~k JAMES A. SMIm Department of Healt~d Hum~rvices approval R evie wed and approved b~ ~ 4W~. Dater/4 ~ ~'{~~Z 72-013 {Rev 9/9~) MOA 25 Permit No. ~;~vc~.~(~_-~c~ Page 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: PID No.: ~ B - BUILDING CORNER C] · E~ C - BUILDING CORNER ~_~ D - TA~qK CLEANOUT E - NORTH TRENCH CLEA lOUT ms F - SO~UTH TRENCH CLEABOUT 04 ~T_ G - DATUM - FINISH FLC)R ZD AFF SOUTH ENTRANCI -FENCE AEi - 167' BEi- 87' BFi - 120' CDi - 47' CEi- 95' CFi- 97' EXISI]NG IRENCH 33 ~± RE]AD EASENEN7 NOTE: -MDN]TDR TU~E DIVEgS]BN VALVE 995' TRENCH 7' FFECTIVE DEPIH LARGE ~OULDER ENCOUNT(RED IN TRENCH 30!/ FROM SOUTH END, ADJUSTED TRENCI~ LENOTH TO COMF~ENBATE. 15~3 SQiFT. INFILTRATION.AREA. CLEANOUTS INSTALLED AT ~TANK OUTLET. 2"::INSULLATION INSTALLED OVER PIPE AT NORTH 1/2 OF ~'RENCH. PIPE ELEVATIONS FROM BOTTOM OF PIPE. ELEVATIONS! ............ DATUM = lbO' TANK OUTL~I = 84,40' DIVERSION VALVE = 84.25' TRENCH BOTTOM SOU~N EBB = 77.04' CEN~ER ± 77.02 NORTH E~D = 76.99' DRAIN PtPEi "T" AT CiENTER = 84,1' NORTH E~D = 84.08' GROUND SURFACE AT TRENCH SOUTH E~D = 89.25' CENTER = 88.40' NORTH EBB = 67.10' 72-013 A (1/93) 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 WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950279 DESIGN ENGINEER:SKY LABORATORY OWNER NAME:DWYER JUANITA OWNER ADDRESS:GENERAL DELIVERY GIRDWOOD, AK 99587 DATE ISSUED: 9/18/95 EXPIRATION DATE: 9/18/96 PARCEL ID:05117124 LEGAL DESCRIPTION: T15N R1W SEC 18 LT 38 LOT SIZE: 64927 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. 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 (18AACS0) . 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. Sky I, aI;oza tozy September 11, 1995 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Narrative - On-Site Drainfield Replacement BLM Small Tract Lot 38, NE 1/4, Section 18, T15N, R1W, SM Dear Mr. Cross: This letter is to report the current conditions at the above referenced property and provide a description of the proposed design. The current owner is expecting a sale at the end of September, however, the existing on-site disposal system did not pass an adequacy test for a health authority approval. The referenced property is located on Inlet View Drive, north of the Birchwood Loop in the Chugiak area. The area is gently sloped toward the northwest and soils are variable glacial till. From information provided to me, the current improvements on the property consist of a four bedroom single family residence with basement and attached garage. The existing on-site disposal system was installed in 1978 and, at that time, designed for a ten bedroom house, based on 225 square feet per bedroom. At that time the current owner was anticipating modifications to convert the residence into a duplex. An application was made to ADEC to establish the well as a Class C water supply and some modifications were made in the basement. Problems with egress and building codes did not allow the conversion. Living space is limited to the four bedrooms on the ground level floor. The proposed septic replacement drainfield design is based on the 31 to 60 minutes per inch percolation rate, or 333 square feet absorption area per bedroom, for a four bedroom house. The well does not meet the Class C required 150 feet separation from the existing septic tank and is considered a single family water supply. The replacement system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots allow sufficient room for septic sites and reserve space is adequate due to the large lot. P.O. Bo= 6~'03~'1, C~=g~ak, Alaska 9956;' P~one/~a~: (~0~') 688-0344 §$011 2. Immediate neighboring septic systems are all plus 30 feet distance. 3. Drainage will not be affected and is not a major consideration in our design. The owner would like to install the new field as soon as possible and we would appreciate your attention to this design. If you have any comments or questions please call our office at 688-0344. Sincerely, James A. Smith, P.E. 95-01 lA.NAR Sky X~a b oxa to~ry Page 2 Lot. 165' James A. Smith, P.E. dba Sky Laboratory P.o. Box 670371 C. huglak, Alaeka ~7 Sky Projecf Number: 95-011 OADD Frle Nome: 95-OII,dwq REPLACEMENT DRAINFIELD PLAN SHEET CONSTRUCTION NOTES INSTALLATION SHALL BE PERFORMED IN ACCORDANCE WITH CURRENT MOA DEPT. OF HEALTH &: HUMAN SERVICES REQUIREMENTS. EXPOSE OUTLET END OF EXISTING SEPTIC TANK TO VERIFY CONDITION. INSTALL CLEANOUTS IN ACCORDANCE WITH CURRENT CODE REQUIREMENTS. INSTALL DIVERSION VALVE, BULL RUN OR APPROVED EQUIVALENT, TO ALLOW DRAINFIELD SWITCHING. THE REPLACEMENT DRAINFIELD SHALL CONSIST OF A DEEP TRENCH, MINIMUM 95 FEET LONG, WITH A 7 FOOT EFFECTIVE DEPTH. INSTALL MONITOR TUBE AND CLEANOUT AT EACH END OF THE NEW TRENCH. LEGEND / ~) / h,'"" ~5 ?~. x 7 ?t, E,D, x 95 ?t, PRDPBSED DEEP TRENClt ON-SITE DESIGN BLM SMALL TRACT LOT 38 NE I/4, SECTION 18, TISN, RIW SCALE: DATE: BY~ SHEET: ND WELL DR SEPTIC CDNFLICT ND KNDWN CURTAIN ]]RAINS ...... James A. Smith, P.E. In Association With: SKY LABORATORY P.O. Box 670371 Chugiak, Alaska 99567 (907) 688.0344 SKY Project No.: 95-011 Calculated By: JAS Date: 4-Sep-95 Single Family 4 Bedroom Dwelling Deep Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 600 gallons Percolation rate = 31 minutes per inch Wastewater application rate = 0.45 gallons per day per square foot Required absorption area = 1333 square feet Trench width (W) = 2.5 feet Gravel depth(D)= 7 feet Required length = Required absorption area / 2 / D Required length = 1333 / 2 Required length = 95 feet / 7 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) PERFORMED EOR: O DATE PERFORMED: LEGALDESCRiPTiON:~.~'X ~.o.\\'~-~-~.e~-~z:~' ~, Township, Range, Section: 'Tt~;1,,I q:~'~'~/ 9- 10- 11 ~TH JAMES A. SMITH CE 8816 SLOPE SITE PLAN IUND WATER COUNTERED? IF YES, AT WHAT DEPTH;) Depth to Water After.._ 13 Monitoring? ":b'v,7' Dale: _~J~'2.~' 14 15 16 17 18 19 Gross Net Depth to Net Reading Date Time Time Water Drop 2O PERCOLATION RATE 3O Iminutes/inch) PERC HOLE DIAMETER ~-~ ~' TEST RUN BETWEEN ~'~ FTAND '7 FT COMMENTS ¥~O~-.~-~O-t ~t.~-~O~ (v--~.,-~¢.~'(~ ~'~"~" ~v;/ ~. ~ ~p~,'- ' ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACOORDANOE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFEO' ON THIS DA'E. DA%E: q /~ /~ f;' 72-008 (Rev. 4185) Municipality of Anchorage DEPARTMEi~T OF HEALTH & HUMAN SERVICES 825 '%" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) DATE PEREO.MED: <Z/17//q~' LEGAL DESCRIPTION; ~L['~ ,-.~"'~-~-~-~-~c~' ~-04 ~c~ Township, Range, Section: ~-~j~ '~\,,,~ ~% ,~, 12 13 14 15 16 17 20- 49TH ~,. JAMES A. SMITH CE 8816 SLOPE SITE PLAN ;ROUND WATER )UNTERED? ~ S ~IF YES, AT WHAT DEPTH? p E Depth te Water After Monitoring? ~'~::~7' Date: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ~--~ (minutes/inch) PERC HOLE DIAMETER ~ ~ "~ ~'~ TEST RUN BETWEEN ~-/' ~' _ FT AND ~ FT COMMENTS PERFORMED BY: Z~'/~/ ~)~O~Gv'~/ I 30'--~ ~/~'~;'¥~' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: O~/\ ~ /,"'C'~ % 72'008 (Rev. 4/85) ~ , ,', ,~,-",' ', AS-BUILT * ' :. ,: ~ ~." ' I heceby ce~ff¥ thai % have surveyed lhe followtn~ i~provements sttuat~.d;~ th~eon are with~ the p~opert~ ll~ea m~d do not overlap or eu~l~oaeh on tbe pro~r[~ lyin~ adjacent there~o~ that no lmprowmen~ on pro~ erty lying ad~acent thereto encroach 6a the premises qtlPstion ~nd that thc~'e ar~ ho roudways tr~nsmis'~o~ lines or other visible eusement~ on ~ald prop~7 except as Indicated hO~eon, SC~E:~ Re~i~te~d Lind Surveyor No. 1" = }¢ Bo~ 45~ Eagle ~vor, Aqaaka I hereby certify that I have surveyed the ! Aoc~iage Becordi~g Praginct, Ala.~ka and that the i~p~ovements situa~d th~eon ara ~lth~ the pioperty li~es and do not overlap oV encroach on Ihe lying adjacent ~hereto, that no lmprovcmen~ on pro~ arty lying adjacent thereto encroach 0n the premtses m qtlestlon xed that th~'e ara do roadways transmis'don Hnes or other Visible easements o~1 said prepay except aa b~dica~ed be'aeon, Dat~ at gagle RiVer, Al~sk9 SC~E:, Registered Lind Surveyor No. 1" = ~0 Bok 45~, g~le ~ver, Alaska .P~oti, .~4.~543 ....... ,,~,~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME LEGAL DESCRIPTION Liq. capacity in gallons Inside length Width Liquid depth ~0~0 IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ ~ ~ Manufacturer Material Liquid capacity in gatlons Q Well Foundation Nearest lot Ii PERMIT NO. ~ ~ Z No. of lines Length of each li~e Total length of lines Trench width Distance between lines ~ -- Top of tile to finish ~rade ~ Material beneath tile I Total effective a sorption area Length Width ~ "Depth PERMIT NO, ~ Type of crib Crib diameter Crib depth Total effe~ve 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 CAs SOl L TEST RATING iNSTALLER REMA. KS APPROVED DATE LEGAL 72-013 (Rev. 3/78) PERMIT NO, MUNI¢IF DEPARTMENT O~ 825 'L'~ ON--S I TE ( 781058 ) ~LIT¥ OF 8NC:H' ~8GE HERLTH AND ENVIRONMENTAL P~:OTECTION STREET~ ANCHORAGE., AK. ~50i 264-4?20 SEWER UPGRADE PER~'] I T APPLICANT LOCATION LEGAL JUANITA DWYER INLET VIEW DR T15N RiW Si8 LOT ~8 SR BOX 728-D CHUGIAK LOT SIZE 688 2065 ~000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 10 SOIL RATING (SO FT?BR>= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= i4 LENGTH= 125 ORA~/EL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND RND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REQU I RED SEPT I C TRNK S I ZE= 2000 PERMIT APPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY 8ND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ..... TWO ( ::;' ) INSPECT IONS ARE REQLI I REE) BACKFILLING OF RNY SYSTEM WITHOUT FINAL INSPECTION AND RPPROYAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 PEET FOR 8 PRIVATE WELb OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.. OTHER REQUIREMENTS MRY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVBILABLE TO INSURE PROPER INSTALLATION. PERMIT EXPIRES DECEMBER I CERTIFY THAT l: I AM FAMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 10 BEDROOMS. O ~ E GEOTECHNICA'~ ;~' DEVE' OPMENT CO. Box 90, Davis St,, ELSIe Rive~, Alaska 99577 694~2774 694-2774 S~]L LOG ~U ~ ) ~ ' ~'~ " Soils ~ Foundations ~ ~ -- Land Develop~nt Per¢o~ed for: Name~ Depth (feet) 2 10 11 12 '2.5 ,, 16 Ground Water Encountered= Yes No /.t,,, If ye~, whet depth Proposed Installation= Seepage Pit ,, Drain Field , Comments: , z~ '~'rr r~zZzzrzrrr~ ~ DEPT. OF ENVIRONMENTAL CONSERVATION SOLITNCENTRAL REGIONAL OFFICE / December 15, 1978 Jay S. Hammond, Governor SOUTHCENTRAL REGIONAL OFFICE MACKAY BLDG. 33B DENALI STREET ANCHORAGE 99501 MUNICIPALITY OF ANCHORAGE ENVIRONhq i~17i. ,: : CTION Juanita Dwyer Star Route Box 728D Chugiak, Alaska 99567 RECFI¥1-D Subject: BLM Small Tract Lot 38 Dear Ms. Dwyer: We have received and reviewed the as-built lot plan of the subject lot. The existing well is hereby approved as a class "C" public water source providing the proposed septic tank and absorption trench are located at least 150 feet from the well. The results of a bacteriological water analysis of the well water should be submitted to this office as soon as possible. Sincerely, ,,_ James O. Starr Environmental Engineer ce: /DHEP-Les Buchhol z bl 'R ANCHORAGE AREA BC Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 'GH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ,¢' ,,t,~ ~-z,,,: :/ '~>:b~/': · MAILING ADDRESS '~'t~,~ 5;/;:4'~// I ;! ,:7 - .... - ' c-, - PHONE LOCATION [Z · xJX z~ ,:~.,. '; , . ; ; ~,/ SEPTIC TANK: DISTANCE FROM WELL/ ,: %: MANUFACTURER ¢: '..: :/~'~/" F MATERIAL %~' '~ '- '4 : ,-- COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ¢ ~' ¢¢ GALLONS. SEEPAGE PIT: NUMBER OF PITS ~''~: DIAMETER__OR WIDTH LINING MATERIAL~ ? 'z/ , CRIB SIZE: DIAMETER BUILDING FOUNDATION__., NEAREST LOT LINE ADDITIONAL ABSORPTION -'·~ /~, :~'"' LEN GTH'":~ 4;,) DEPTH DEPTH ';?~ "DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) "' ~ ~ SQ. FT. WELL: TYPE ~ ~ ,' CONSTRUCT DEPTH ~'"" BUILDING ':"/ '~)*"~ NEAREST NEAREST SEPTIC FOUNDATION ¢;' LOT LINE . -¢ SEWER LINE '" TANK CESSPOOL DISTANCE FROM: . DISAPPROVED APPROVED -' SEEPAGE '× SYSTEM OTHER SOURCES. DISTANCES:x> ~'¢ , ;3 . . - ~:~ ~, . INSTALLED BY: PIPE MATERIAL: ~" , ' ~/ LOT SLOPE: REMARKS: '¢ Form No, EQ-O31 DATE DIAGRAM Of SYSTEM i ,:: }~1 i/ ',- :- ~J APPROVED ,'-/,;( :~- ~ ~-~:.~;~ ~ M-W DRILLING, In¢, P. O. Box 4-1224 , 1310C Internationa! Aieport Road (907) 274-46l 1 DRILLING LOG Well Owner. .......... _.~_Dwy~r .... Use of Wel] Location (address of: Township, Range, Section, if known; or distance main road_ ...................... Si~;e of casing._._~.____Depth of Hole___?5 ........ feet Cased to_. 75 .--_feet Static water level_~g2_ i ft. (~;g. (below) land surface. Finish of well (check one) Screen ( ); Perforated ( . ). . . Describe screen or perforation Well pumping test aL. ~ _gallons per of drawdown fronl static level. Date of completion_...i_Q_EP..b_.7,~_____ open end ( X ); (minute) for~. hours with_. WELL LOG Depth in feet from ground surface ._ 1.2. _._TO.., ~ _ _ 48 52 ...... ~?__...TO__ 7_3._ __.73__TO____?_5__ ......... TO ............ '1'O ......... ..... TO .......... TO ..... ......... TO ...... TO Give details of formations penetrated, size of material, color and hardness _ ~ncl_v Gravol I _Gcahh.t.~t S andy_._G. !ivac_.1, !-- .!-m..~.~l :lJ-_.-d- S~nd Sil. t'_w~_ occ gravel st~inqers Water Gravel CUSTOMER ,/ GrEaTEr ANCHOrAge: ArEA BOROUgh DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAl. SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF APPLICANT P'ONE d INSTALLATION OF: SEPTIC TANK TYPe AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH K SEEPAGE PIT / DRAIN FIELD . OTHER SOIL TEST RESULTS r~-~~/~} ~;' ///~'~'~'~'~2~'~-~'~-/~ ~ NOTE, THI~ PERMIT lB NOT VALID WITHOUT FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL OUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEPTIC TANK SIZE ./~'-~ .~_~.~ TYPE ~':~g~)' SEEPAGE AREA SIZE TYPE ~'~ ~INIMUM DI$TANCE$, REOUIRE~ENT$ DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK ~/ FOUNDATION TO SEEPAGE PIT ~ DRAIN fIELD SEPTIC TANK TO SEEPAGE Pit WALL _ ~"~ ~ ~ / ~'' WELL TO SEPtiC TANK ~ ~J / SEEPAGE PIT ~ ~ ~ WATER MAIN TO SEPTIC TANK ~,~/ SEEPAGE Pit /~ / SEPTIC TaNk,,/~P~) ~ SeEPAge PIT/~ / ~ GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE , APPLICANT'S SIGNATURE GREATER ANCilOR/kC, E Al<Ell UOROUGll IJepartment of Environmental Quality 3330 "C" Street Anchorage, Alaska 991;03 / / ,'q([[l,S I,()G PEIIOI,ATION TEST Legal L)escrip~on:~ ~ .c~ ~' ~ ,~ This form reports: ' 'go]q'~ -~ .... ~ ........ Per~la~i6r~{ -[~s~ Depth Feet T- 7- 1 0 - l'l 13- Was ground water encountered? _.~14{/.__~ ......If yes, at what depth? Reading Date Gross Time Net Time _~?~t!l__t_o_~Wet!er Net L)rop Percolation rate minute. .Proposed i ns tal 1 a t ]'-'-6'n'.: - ~e~'~a--ge Pi t Drain Fi eld Depth of Inlet . Dept'i~--{'o'-b~t-o-m"6¥"p, it or trench MUNCPALTYOFANCHORAGE~,;' ;".~,~'~, DEPARTMENT OF HEALTH & HUMAN SERVICES ',,, ivislon Environmental Sen/ices ..,t,~. 96650 Anchorage, Alaska'~99519-6650 343-4744 ' ~,~; '~, ,. CERT F .. , ~,.~ I ICATE OF HEALTH AUTHOR TY,.,. 5~.,.~AE FOR A SINGLE FAMILY DWELLING BY ENGINEER ~'.:~.~.~,-.~. ~ ~.~. ' AS ce~lfled bY my seal affixed hereto and as of the vahdation date shown b~[~ ver ~ that my ."'r investigation of this Health Authority Approva app cat on shows that the'~:~ ~'~nt~ ~Unn v : and/or wastowator disposal system is safo. functional and adoqUate for tho n~ bOd;ooms and typo of structuro indicato~ ~oroin. I fu~hor vodfgthat gasod on tho' '*~t~{~ ' mformat~on Obtmnoe from tho Municipality of ~nchora~ filo~ and from my invosti~atlon an~jnsp~ction, t~ on-slto wator supol~ snd/or wast~wator disposal systom ~s in comChanco with all ~unieipal a~d 8~ato ~od,s ordinancos, and m~ulation~ in o~oet on th~ dato of this ins~oction. Name of Firm sky Laboratory Address P. O. Box S70371 Chugiak, Alaska 99567- Engineer's signature Phone ~8-0344 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street Room 502 · Anchorage. Alaska 99501· (907) 343-4744 Health Authority Approval Checklist Legal Dcscripuon: BI~7I ~mall Tract Lot 38 Parcel I.D.: Section 13, T15n, Rlw WELL DATA Well [ypc private Log present (Y/N) les Total depth 75 feet 05117124 If A. B. or C. attach ADEC letter. ADEC water system number Date completed Feb 10, 1975 Cased to 75 feet Casing height Cabove ground) 2.5 feet Sanitary seal (Y/Iq) Yes Wires properly protected (Y/N) Yes FROM WELL LOG AT INSPECTION Date of test 2/10/75 9/24/95 42 feet 43 feet 5 g.p.m. 6.7 Static water level Well production g.p.m. WATER SAMPLE RESULTS; Coliform 0 grov~ch/100 ~ Nitrate .1 mg/L Other bacteria .... Date of sample: 9/24/95 Collected by: James A. Smith B. SEPTIC/HOLDING TANK DATA Date installed 1978 Tank size 2000 Number of Compartments Cleanouts (Y/N]. Y Foundation cleanout (Y/N) Y Depression (Y/N) No High water alarm (Y/N)_ N/A Date of Pumping Pumper C, ABSORPTION FIELD DATA Date installed 9/25/95 Soil rating (g.p,d,/fl2 or fi2/bdrm) 0.45 System type Deep Trench Length 99.5 ft Width 2 ft Gravel thickness below p~pe 7 ft Total depth_ 10 fL Effective absorpt, on area 1333 Monitoring Tube present(Y/N) Y Depression over field (Y/N) N Date of adequacy test N/A Results (Pass/Fail) N/A For 4 bedrooms Fluid depth in absorption field before test (in.); Immediatel} after gal. water added (in.): Fhfid depth (ins.1 Minutes later: AbsorptIon rate = .g,p.d Peroxide treatment [past 12 months) (Y/N] If yes, give date D. LII~ STATION Date installed N/A Manhole/Access (Y/N) Size m gallons "Pump oil" level at* "Pmnp off" level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 130 fL Absorption field on lot 3.67 ft Public sewer main N/A Sewer/septic service line 85 fl: : On adjacent lots 100 fl:+ _; On adjacent lots 100 fl:+ N/A Public sewer manhote/cteanout Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 43 ft Property line 57 fl: Absorption field Water mai~Vservme line N/A 11 ft X 26 ft 195 ft Surface water/drainage 200 fl:+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Buildiug foundation 65 Et Water main/service line N/A Surface water 200 fl:+ ].70 fl: Curtain drain N/A Wells oil adjacent lots 3.35 fl: Driveway, parking~vehicle storage area Property. line 41 ft F. ENGINEER'S CERTIFICATION ! certif) that ! have determined thru ~eld inspections and review of Municipat records that the above systems are in con ormance with MOA HAA gui~telines in effect on this date. , Si nature (~ ~ ~ ~ .... ' . ~ 9: 49~ ".~0~. , , ~ . lgi~m~g.~, ere; .... .................. : ............................................................................. .... . HAAFee $ jO0 ,~ Wa,verFee$ Date of Paymem ~/~/~3~ Date of Paymem Receipt Number / ~ ~d~ Receipt Number Rev. 8/95 OSS: haa.wk.doc RESIDENTIAL WELL FLOW TEST REPORT LEGAL: BLM Small Tract Lot 38, NE 1/4, Section 18, T15N, RIW, SM LOCATION: Inlet View Drive, Chugiak, Alaska 99507 OWNER/CLIENT: Juanita Dwyer RESIDENCE: 4 bedroom, single family TYPE OF WELL: Private WELL LOG AVAILABLE: Yes - Attached WELL PRODUCTION RATE: 6.7 GPM for 4 hours DATE OF TEST: September 24, 1995 COLIFORM/NiTRATE WATER QUALITY SAMPLE TAKEN: Yes WATER TEST RESULTS: Satisfactory - Reports attached TEST PROCEDURE The four hour well test was conducted on September 24, 1995 by Mr. James A. Smith, P.E., Principal Engineer. The well was pumped at a steady flow rate of 6.7 GPM for a total of 1608 gallons. Total water level drawdown from a static water level of 43 feet was 19 feet after one hour of pumping. At this point the water surface level in the well was static at 64 feet below the top of the well casing. TEST RESULTS The well flow rate meets the basic requirements of the Municipality of Anchorage for a three bedroom single family residence as of the day the system was tested. It also meets the FHA 3 GPM for 4 hours requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of any well may change due to subsurface conditions that may not be observed from the surface, changes in land use and other factors that may impact the conditions of the aquifer supplying the well. The test data and investigation of existing conditions is provided to our client for submittal to the Municipal Health Department for their review and approval. Any concerns with this test report should be discussed with the testing engineer. DWYER.WEL September 28, 1995 P.O. Box 6~'03~1, Chugiak, Alaska 9956;' Phoae/Fax: (90~') 688-0~44