HomeMy WebLinkAboutT15N R1W SEC 18 LT 190BMunicipality of Anchorage u,t Mt I J� .
Community Development Department Pase 1, 3
On -Site Water & Wastewater Program ° . / 1 +
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsit ko;A3 7904
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP161303 PID Number: 051-232-71 ❑ New 0 Upgrade
Name:
JOSEPH & ANGELA LINDBERG
ABSORPTION FIELD
❑ Deep Trench ■ Shallow Trench ❑ Bed ❑ Mound
Address:
18212 BIRCHWOOD LOOP ROAD, CHUGIAK, AK 99567
❑ Other
Phone: No. of Bedrooms:
Soil Rating:
Total Depth from original grade:
406-3119 3
*1.2 GPD/Sq.Ft.
9 (MAX.) Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade:
Gravel depth beneath pipe:
SEE DWG. FL
4.01 - 4.46 Ft
Subdivision: Block: Lot:
- - 190E
Fill added above original grade:
Gravel length:
(SOUTH) / (NORTH)
SEE DWG. Ft.
63 (1 @ 30' / 1 @ 33') Ft
ownship: 15N Range: 1 W Section: 18
Gravel width:
Beds Number of lines:
Distance between lines:
5 Ft
Ft
SEPARATIONDISTANCES
Total absorption area:
(SOUTH) / (NORTH)
630+ (300+ / 330+) so. Ft
Number of trenches:
2
Dist between trenches:
10+ Ft
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
PubliclPdvate
Sewer Lines
Well
100'+
25'+
TANK ❑ Septic ❑ S.T.E.P. ❑Holdin ther
Manufacturer.
Cape 8" 11
ECT •IVA
Surface Water
z
100'+
E—
1N
'
o Ogn
N/A
tgZ1NG
N Vks? Gal.
Lot Line
Vi
X
W
*10'+
_
Material:MtCNpGNEOtN
s`
umbar ofwmpabneMs:
ENO
LIFT STATION
Foundation
101+
-
-
Manufacturer.
c
Gal.
Curtain Drain
NONE KNOWN
Remarks: PLEASE CONTACT THE PROPERTY OWNER FOR THE
•Pumpon'levelat
'Pump off" level at
High water alarm at
PUMP LOG AND WATER SAMPLES AS CALLED OUT FOR ON THE
Pump Make & M
Electrical Inspections performed by
SEWER PERMIT.
*OWNER/INSTALLER ESTABLISHED LOT LINE CONTROL
PIPE MATERIAL
House to tank EXISITNG Tank to D3034
drainfield
Installer
OWNER
Drainfield D3034 CO/MT D3034
Inspector GEG, Ltd.
BENCH MARK (Assumed elevation)
100.00 Ft.
Inspection
Location and Description:
Dates: 1 St 10/29/2016 2nd 10/29/2016
3rd 10/30/2016 4th 10/30/2016
BACK DOOR THESHOLD
ENGINEER'S SEAL
Community Development Department Approval
` 444
44
.��.
Conditional approval: Date:
AV
49 '
....... ..... ........ .... .. 10
0
� ...... ............... .......:� .. 0
ess::�1
a
L L
,
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Approved. Date: 2 Z ('
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1.........P •
LICENSE 1444%FE
#AECCa9a
Inspection Report_1-1-12.doc
PERMIT NUMBER: RECORD DRAWING V Y I N G PARCEL ID NUMBER:
OSP 161303 051-232-71
A B �� LU \ LOT 181 ---- --- LOT 180
FCO 18.5 32.8------_ \ _o \
ST1 21.3 27.5 ��� 89
ST2 26.0 22.6 \ �9
DBL1 27.7 21.5
DBL2 29.2 20.8 BASE OF SLOPE NEW \ y
FD 30.6 20.2 (APPROX) DRAINFIELDS
Cot 31.7 19.7 \ INSTALLED FLOW
CO2 35.1 34.3 COsr _ \ SPLITTER (FS)
MT1 37.6 34.2
_ i
CO3 1 66.3 1 26.5 C I D1 05 /
MT2 61.4 25.7 FS 18.0 31.4 / ABOVEGROUND
MT3 16.1 28.6 CO! TH# SWIMMING POOL
C04 33.6 18.4
MT4 32.9 17.7
Q COS 35.3 43.2
lt1 EXISTING DRAINFIELD
OG MT5 32.3 40.1 (SURCHARGED). INSPECTED IN
Q C06 46.0 35.3 \� �� / 2011 BY MICHAEL E. ANDERSON,
U MT6 45.5 33.6 P.E. (NO SIGNED RECORD
0~. ISTIIyG �`\�'1r / DRAWINGS). TO REMAIN IN PLACE
wN APAGE I r��� FOR POSSIBLE FUTURE USE
OO /
B j INSTALLED FLOW
+•• ,: pB DIRECTOR(FD)
BLI
EXISTING 1250 GALLON
3 SEPTIC TANK. INSPECTED IN 2011
+ Ti I BY MICHAEL E. ANDERSON, P.E.
- - FCO (NO SIGNED RECORD DRAWINGS)
i ��• . .� 3 BEDR� G
LOT 190A '' `t hoUSE M II \ o
LOT 191
/ AQ <�' s;'•-','• e' WELL NOT IN USE. \ $
/ O) y NEEDS TO BE \ \ �.�.. \
/ OpgT "-. • ; - , "- ' •..-��� DECOMMISSIONED
// Doti ";; a ::ti .:::-:y : •��� • \\ � � I
GENERAL LOCATION OF I ' ` : ' •�. •+ /�• ` I N
NEIGHBORING WELL
SCALE:
\ WELL CURRENTLY BEING
USED BY RESIDENCE
OF
,. #i#
GARNESS ENGINEERING GROUP, Ltd ....`.... `* .
�t: ��•<<-•• CIVIL & ENVIRONMENTAL ENGINEERS ...
3701 E TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507 • PHONE (907) 337-6179 -FAX (907) 338-3246 • WEBSITE: www.gamsuenginming.com •• �••............••• •.
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: o, tin Je • Gam s :' 4 'W
JOE AND ANGELA LINDBERG 406-3119 2 OF 3 �# ; 's, E- _.'►
PROJECT/LEGAL DESCRIPTION: DRAWN BY: ##�J�`•�+ �►
T15N, R1W, SECTION 18; LOT 1906 J.L.M. #1 �'(,�,/-•a �
TYPE OF WORK: DATE: LICENSE ,�"St�,+►��•
RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 3/15/2017 #AECC884 /
PERMIT NUMBER: PARCEL ID NUMBER:
OSP161303 RECORD D RAW I N G 051-232-71
FINAL GRADE =
98.49-98.69 -
NORTH TRENCH SOUTH TRENCH
ORIGINAL GRADE @ FINAL GRADE _
HIGHEST POINT = 98.84 98.56-98.69
COS MT5 � FS MT3
1;06 MT6 TH#1 C04 MT4
-BOTTOM OF
TRENCH = 90.33
-ORIGINAL GRADE @
HIGHEST POINT = 98.84
INV. =
94.30
- BOTTOM OF
TRENCH = 89.84
RELATIVE ELEVATION BOTTOM OF TEST HOLE #1 = 82.84 (DRY ON 9/29/2016)
GARNESS ENGINEERING
GROUP, Ltd
- CIVIL & ENVIRONMENTAL ENGINEERSt���
3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907) 337-6179' FAX (907) 336-3246 - WEBSITE: www.gameseengineedng.com
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
JOE AND ANGELA LINDBERG
406-3119
3 OF 3
PROJECTILEGAL DESCRIPTION:
DRAWN BY:
T15N, R1 W, SECTION 18; LOT 190E
J.L.M.
TYPE OF WORK:
DATE:
�,_ RECORD DRAWING OF SEPTIC SYSTEM UPGRADE
1/4/2017
►ice u ess : j Aw
E-79 ' = i
i
LICENSE O.P- 40,
ROFESS� :••�
#AECC884\\\��
Municipality of Anchorage
On -Site Water and Wastewater Program
P.O. Box 196550 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
Review Comments
Engineer: GARNESS ENGINEERING GROUP LTD
Legal Description: T15N R1 W SEC 18 LT 190B
Parcel ID: 05123271000
Permit: OSP161303 Septic
Report Type: As Built Review Completed By:
3/16/2017
R.Carroll
The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed
prior to MOA approval:
1) In order to close out this permit, the well drilled under permit SWO50111 needs to either be decommissioned or put into
service.
a) If well is decommissioned, submit decommissioning log to MOA On -Site.
b) If well is to be kept, submit pump install log and water sample results to MOA On -Site.
co`mil` ri S �'� � ^� `' t T' 1
T? (^-
S'C,,4 L
TZ . S o (
F L4
P c. E-
Jody Maus
From: Jody Maus
Sent: Wednesday, November 23, 2016 9:21 AM
To: 'akseadoo@yahoo.com'
Cc: Jeff Garness
Subject: Pumpers log and water samples for 2005 well
Attachments: Pump Install Log.pdf
Joe & Angela,
We have all the documentation for the septic system complete; however, the special provisions on the septic permit
were we needed to provide the following information with our documentation of the septic for the well drilled in 2005:
• Well Log - We have a copy of this already that we received from Sullivan Water Well)
Pumper Install Log - I have attached a PDF copy of this. It is my understanding that you will be setting your own
pump and based upon my phone conversation with Deb Wockenfuss with the MOA Onsite Department, she said
that this was acceptable as long as you followed the disinfection requirements.
• Water Sample results - We can provide you a sample kit for the required sample testing parameters. You can
take your own samples and submit them to a certified lab and thean provide us a copy of the results when you
receive them.
Please send me a response to this email stating your timetable for completing these tasks.
Sincerely,
Jody Maus
Consultant
Garness Engineering Group, Ltd.
3701 E. Tudor Road, Suite 101
Anchorage, Alaska 99507
Phone: (907) 337-6179
Fax: (907) 338-3246
Mobile: (907) 223-0555
Website: www.garnessengineering.com
GARXI FSS ENGINEERING OR+OUP Ltd
On-Site Wastewater Disposal System Permit
OSPl11318
05123271000
Septic
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number:
Tax Code Number:
Work Type:
Permit Effective Dates: November 01, 2011 to
Design Engineer: ANDERSON ENGINEERING
Subdivision: T15N R1W SEC 18
Upgrade
October 31, 2012
Site Legal Address: T15N RIW SEC 18 LT 190B G:1054
Owner/Address: LINDBERG JOSEPH J & ANGELA M
18212 BIRCHWOOD LOOP RD CHUGIAK AK 995676720
Site Mailing Address: 18212 S BIRCHWOOD LOOP RD, Chugiak
Lot Size in Sq Ft: 41652
Total Bedrooms: 4
Department
This permit is for the construction of:
Y Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N Water Storage
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 (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions: The well drilled for permit SW050111 was found to be dry. This well must be
decommissioned per muni code prior to final inspection report approval.
Special Provisions:
Minimum 7 day water monitoring must be provided. Construction may proceed at your own risk
before the 7 day monitoring is complete. Please submit stamped and signed results with the
as-built inspection report. If the results require a design change, construction of the system will
stop pending on-site review and approval. AMC 15.65.060.B.4
Received By:.
Issued By:
Date: /l-~-~1
Date: //,//~/
MUNICIPALITY OF ANCHORAGE
Community Development Department i Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water & Wastewater Program
Mayor Dan Sullivan
! R U ¢ H ! ~N-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-232-71
Property owner(s): Joseph and Angela Lindberg Day phone: 242-0288
Mailing address: 18212 S. Birchwood Loop Road Chugiak, AK 99567
Site address: Same
Legal description (Sub'd., Block & Lot):
Legal description (Township, Range & Section): T15N, RIW, Section 18, Lot 190B
Lot Size: 41,652 Sq. Ft. Number of Bedrooms: Four (4)
THIS APPLICATION
([~] all that apply)
Absorption Field X
Septic Tank X
Holding Tank []
Privy []
Private Well []
Water Storage []
IS FOR:
THIS APPLICATION IS AN:
Initial []
Upgrade X
Renewal []
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
I certify that the above information is correct. I further certify that this application is being made
for a Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush
Date of Payment:
Receipt Number:
Permit No. ( .;~
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
C:\Users~AndEng\Desktop\Permit Application.docC:\Users~AndEng\Desktop\Permit Application.doc
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522,7773 677-7766 (FAX)
October 31,2011
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 Elmore Road
Anchorage, AK 99519-6650
Subject:
T15N, R1W, Section 18, Lot 190B
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The existing septic system on the subject lot has failed and must be upgraded. We are
therefore requesting a permit be issued for the upgrade of the septic system to
accommodate the four-bedroom home on the lot. The attached Site Plan and backup
documentation identify the location and configuration of the existing and proposed
septic system. The existing Septic Tank will be decommissioned in accordance with
Municipal Code and a new 1,250 Gallon Septic Tank placed at the location shown. The
existing absorption trench will be abandoned in tact. Also identified on the plans are the
locations of the existing well on this and adjacent lots and adjacent septic systems. No
conflicts exist between the proposed septic system and the wells on this or adjacent
lots. Protective radii are shown to the adjacent wells. Drainage arrows are shown
indicating the current drainage patterns. The drainage patterns will be maintained after
construction.
The test hole placed on the lot indicated Well Graded Sand (¢¢¢¢-)- the entire depth. The
percolation rate was determined to be less than 5 minutes per inch. We have
designed the new trench with an application rate of 1.2 gallons per date per square
foot. We are proposing to place a 50' long trench by 5' wide with a 4' effective depth.
The total depth of the system will be 8' with the distribution line at 4' below the existing
surface.
The ground surface on the lot is virtually flat5 in the area of the absorption trench. The
trench will be placed parallel to the contours of the ground as much as possible and in
conformance with design criteria. A minimum of 100' will be maintained between all
components of the septic system and the proposed well and from any surface water in
T15N, R1W, Section 18, Lot 190B
October 31,2011
Page Two
the area.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
T15N RlW SECTION 18, LOT 190B
LOT 190A
No Well Within
100' of Property
Line
No Well Within
100' of Property
Line
LOT 181
140.00
Abandon Existing
Absorption Trench
Garage
,50' Long x 5' Wide
x 4' Effective Depth
Absorption Trench
?/
/
/
/
/co
2c(
SVl,250 Gallon
sv Septic Tank
FCO
Three Bedroom
Home
0
LEGEND
MT - Monitor Tube
FCO - Foundation Cleon Out
TH - Test Hole
CO - Cleon Out
FDV - Flow Diverter Valve
Existing
® Well
NOTE:
No Areas of Excessive Slope or
Surface Water ore Within 100' of /
Any Port of the New Septic
/
~ System. /
CREEK MAINTENANCE EASEMENT ~15' UTILITY EASEMENT/
SCOPE OF WORK~ 140.00
Decommission Existing Septic Tank in
Accordance with Municipal Code. Place
New 1,250 Gallon Septic Tank and 50'
Long x .5' Wide x 4' Effective Depth
Absorption Trench.
I
/
/
NOTE:
Verify 100'
Separation
From Well.
LOT 191
SITE
PLAN
SCALE ]~ = 40'
Existin
Well
T15N R1W SECTION 18, LOT 190B
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom Home 5' Wide Trench System
Perc. Rate: 1-5 Min./Inch 1,250 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 4' Drainfield Rock
4 Bedrooms * 150 GPD/Bedroom = 600 SF Absorption Area
600 SF/1.2 GPD/SF/5 SF (Width) *.5 (Red. Factor)= 50 LF Trench Length
THEREFORE: Construct a 50' Long x 5' Wide x 4' Effective Depth Absorption Trench.
Flow Line Elevation in Trench to be 4' Below Original Ground Surface. Total Depth to be
8' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over
Septic Tank.
~~-Geotextile Fabric
~ 4" Perforated
PVC (Holes Down)
Drainfield Rock
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE) ,~.~c~ .O...F...A/.~.
NOTE: Grade Area Over Trench to Drain Away . ~
Minimum 6, Separation From Bedrock. E.....~..~9th
Minimum 4 Separation From Groundwater. ~'~'~"'~"~;~"'~
, . ~ ~..%,f,..~ .
M~mmum 100 Separahon From Private Wells in the Area ~ ~,c,,~,
Minimum 100' Separation From Surface Water or Streams. ~ No
Mike Anderson
From:
Sent:
To:
Subject:
Joe Lindberg [akseadoo@yahoo.com]
Monday, October 31,2011 7:19 PM
Mike Anderson
Septic at 18212 S Birchwood
I am installing a new septic tank system at my residence. I am planning on doing it myself
but, do to the amount of material that is needing to be excavated I am renting the
equipment and asking a friend, Larry Call, to operate it. Larry has installed thousands of
systems and is retired now. He is doing the work as a friend to our family with no
compensation.
Joe Lindberg
16/4
r,r-e
57,
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: May 05, 2005
Expiration Date: May 05, 2006
Permit Number: SW050111
Legal Description: T15N R1W SEC 18 LT 190B
Design Engineer: 0000 None Required
Owner Name: JOSEPH & ANGEL LINDBERG
Owner Address: 18206 S BIRCHWOOD LOOP ROAD
CHUGIAK, AK 99567.-6720
Parcel ID: 051-232-71
Site Address: 018212 BIRCHWOOD LOOP RD
Lot Size: 41652 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
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 ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
-THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55.
PLEASE SEE THE ATTACHED SHEET 'PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". IT IS
THE BURDEN OF THE PROPERTY OWNER TO DETERMINE ANY EXISTING WASTEWATER PERMITS EFFECT
THE LOCATION OF THE WELL. IF THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE
WATER AND WASTEWATER PROGRAM AT 907-343-7904.
-THE ORIGINAL WELL NEEDS TO BE PERMANENTLy DECOMMISSIONED PER AMC 15.55.060J,
DOCUMENTATION NEEDS TO BE SUBMITTED WITH NEW WELL LOG.
Received By:. _
d
Issued By:. _ ~'~
Date:
Date:
I~lunicipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I,D.
Property omer(s)~aV id ~ ~b~ ~tt . Day phone.
Mailing address I~ ~o~ ~;¢c~d ~. ~q,~ Zip Code
Site address.tgZt~So~;¢c~oA I~. ~h~5;~ zip Code .
Leg~d~c~iption(Lot, Blec~SSub'd.) %~5~ ~J~d ~. I~
Legal description (Se~ion, Township & Range) ..~ t~ ~ ~
Lot q
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Permit Number SW
bg§- w.q-~I
Well Only
Water Storage
[] Jacuzzi []
[] Water Softening Unit []
I certify that, the above information is correct. I further certify that this application is bein ma
Single Fa/~ily Dwelling and is in/~cordance with applicable Municipal Codes. g de for a
(Signature of prope-drty owner or authorized agent)
Permit/Rush Fees: _ ! "~,.~'"'
Date of Payment: ..~-"-
Receipt Number:. __ ~_~ 7 (~ C~ "~
(Rev. 09/04) -
Waiver Fees:.
Date of Payment:
Receipt Number.
Dated at Eagle River, Alask~ ..
SCAI r- ' ~,k~.~Nl ~: JOHNSON
· ,,, W' '~ ~,egist~d Land ~u~'evor
· ~ .. ~x ~4~, Ea~,e Bver, 41as~
AS-BUILT
! hereb); certify that I have surveyed the fullowimz described
r 0 ':/ -" '
v open?J- - / ? o ~, . .
Anchorage Recording Precinct, Alaska, and that the improve-
ments situated thereon are with n the t~rope~v lines and do n
m'erlap or encroach on the ~rooe."tv Iv'ino ~,4;: ~ .... ot
_n_o !~pro..v,e.m. ents. on property ]yin/; edjacent thereto encroach
on ~ne pr~m~ses m quest on and that there are no roadway
t'cansmisslon ines or other vis bio
GREAIER ANCHORAGE AREA BOR ,uGH
O Department of Environmental Quality
3330 C Street ~v_~.~' \C~C.~ ~..~ -
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS ~ ?--~d~ ~"~'~'~:~'/~'~'2:'~~'~O~E
LOCATION ~¢'/~'~¢/~rr~¢~' ~'/~ ~/~' LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE ~/'/~'~'~ ~ ..d'4 x~x'-/g ~,'~'-- NUMBER OF
~_/'-.,~'~',~ . MATERiAL.~'./-~'~,.-'~-'~/'~-g/ COMPARTMENTS~
FROM WELL¢-'~g~ ' MANUFACTURER
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH _ LIQUID CAPACITY
SEEPAGE PIT:
NUMBER OF PITS --- DIAMETER ~ OR WIDTH LENGTH DEPTH /~ --/~¢ ~.~_.~.~/..~?~.~ ,
LINING MATERIAL F/'/=?~'; CRIB SIZE: DIAMETER DEPTH ,~ /
~ DISTANCE FROM:
BUILDING FOUNDATION ~ (~, NEAREST LOT LINE /¢' /"~- TOTAL EFFECTIVE
ABSORPTI/~SA (',¥A4.L A~A)~ SQ. FT.
ADDITIONAL ABSORPTION ~' ~ ~"~<~ '~'~"
W E L L: /¢'~'¢¢~'~¢~
TYPE /~'~'~'~'~ CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE
CESSPOOl OTHER SOURCES
APPROVED DISAPPROVED
D I ST A N C ES: *~/~t'~ ~c)/~/
INSTALLED BY: /~.__~,~_.,~,~,~.;.,r~.]~..,
PIPE MATERIAL: ~;
LOT SLOPE:
REMARKS: ~'~/~-
DEPTH DISTANCE FROM:
NEAREST
SEWER LINE
DATE
SEPT lC SEEPAGE
TANK __ SYSTEM
· AGRAM OF SYSTEM
G.A,A,B.
NAME OF APPLICANT
GREATER ANCHORAGE AREA BOROUGH II'~' ' ' '
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99~03
TELEPHONE 274-4§6!
PHONE
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
DRAIN FIELD
OTHER
NOT~ THIS PI;RMIT IS NOT VALID WITHOUT SOIL T~ST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT ti
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
/~ ~I., DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURE~ED SOIL.
4 iNCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
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
July 23, 1979
JAY $. HAMMO~dD, GOVERNOR
338 DENALI SREET
MACKAY BUILDING, ROOM 1206
ANCHORAGE, ALASKA 99501
MUNICIPALITY OF ANCHORAGE
DEPT. OF HE,'.I. rH
ENVIRONMENTAL
JUL. 2 t979
Robert R. Benson
Star Route, Box S92A
Chugiak, Alaska 99567
Subject: Lot 190B, Sec. 18, T1SN, R1W, S.M.
RECEIVED
Dear Mr. Benson:
We have received and reviewed the plot plan and have issued
a certificate approving construction of a class C well on the
subject lot. The well must be located at least 1S0 feet from
any nearby septic tanks and soil absorption systems. A
bacteriological analysis of the well water and a copy of the
well log should be submitted to this office upon completion
of the drilling.
Please feel free to contact us at 274-5527 if we can be of
further assistance.
Sincerely,
James O. Start
Environmerftal Bngineer
cc: DHEP
18-O6LH
er fiei Drilling
DOC Co.
SULLIVAN WATER WELLS
P.O, BOX 272 CHUGIAK ALASKA 99567 · TELEPHONE 088-2769
OWNER OF LAND
LEGAL DESCRI~ION
PERMIT NUMBER
I)EPTH OF WELL ] 0 !
DRAW DOWN FT
GALS. PER HR .~_
KIND OF FORMATION:
From '~ Ft. to
FrOm ..i~ Ft. t6~fz:~__Ft.
Fr~m ,' ~(~'! Ft. to_,' ~ Ft.
From t ,~? Ft. to
From. __Ft. to Ft._.
Fi'om i~ ~ Ft. t~
From, , _Ft. to_ ' Ft.
FrOm Ft.,to ...... Ft._
Fr~am~ Ft. to ....... Ft._
Fr6m_._ Ft, to_ __Ft.
FrOm Ft. to ..... Ft.
From ...... Ft. to ...... Ft._
From ..... Fi. to .... Fl
From .... Ft. to _Ft ....
From_~ _Ft, to__ Ft.
From _.Ft. to ....... Ft._
~18~L, INFORMATION:
From ..... Ft. to .... Ft ..............................
From ...... Ft. to ......... Ft ......................
From Ft. to
From ....... Ft. to
From . _.Ft. to ...........Ft .....................................
From Ft. tO ........ Ft..
From Ft. to Ft
From ............Ft. to ....... Ft ........................
From .... Ft. to ....... Ft .......................
From ....... Ft. to
From - - FL to
From ......... FL to
From .......... Ft. to ...... Ft
From Ft. to Ft..
From ....... Ft. to_ _Ft ................................
DRILLER'S NAME
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720
ALTH &
[NVIRONMENTAL PROTECTION
SEP 1 4 1979
R[CEW.[D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Compmte all parts on page 1, Incomplete requests will not be processed, Please auow ten (10) days for processing.
PERTY RESIE
R
MAILING,
~DD~,
4. REALTOR/AGENT
.lNG ADDRESS
E, LEGAL DESCRIPTION
J- 7
ST F~' LO~CATIpN
~/r~/5 ~,~ o ~'~
6. TYPE OF RESIDENCE
[] SINGLE FAMILY
,~[. MULTIPLE FAMILY
7, WATER SUPPLY
r-- INDIVIDUAL'
~ COMMUNITY
~-- PUBLIC UTILITY
8, SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE*'
r-- PUBLIC UTILITY
P 'F%% O"SED"OOMS
[] One [] Four [] Other
[] Two ;[~ Five
[] Three [] Six
r
ATTAOH WELL LOG. A well log m reoUired for gl wells drilled
since June 1975. For wells drilled prior to that mete, give well
depth (attach log [f available,
**If individuadon-slte, give installation date.
If system is over two (2) years old an adequacy test is reouired
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010(3/78]
THIS SIDE FOR OFFICIAL USE ONL ·
DATE RECEIVED
INSPECTION APPOINTMENTS -' ,
TIME · TIME TIME'
DATE DATE DATE '
INSPECTOR INSPECTOR ' ' INSPECTOR
DIRECTIONS: '
1. TYPE OF RESIDENCE I . NUMBER OF BEDROOM8
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
2. WATER SUPPLY PERMIT NUMBER
[] INDIVIDUAL DEPTH OF WELL ,
[] COMMUNITY DATE DRILLED '
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
I--IPUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: /'~r.J~ If Tank ls homemade SOILS RATING
give dimensions: I ~ ,
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
~ APPROVED FOR ~r~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
--
DATE BY {Title)
LEGAL DESCRiPTiON
72-010 Rev. 3/78)
STEVEN A. JOHNSON and Associates
P.O. Box 76 · Chugiak, Alaska 99567 · (907) 688-3085
September 17, 1979
Mr. Robert Bensen
Star Route Box 592A
Chugiak, AK 99567
Re, Results of an Adequacy Test performed on Lot 190B,
Sec 18, T15N, RIW, S.5~.
Dear Mr. Bensen,
~ransmltted herein are the results of an adequacy test I performed
on a septic system serving a five bedroom residence at 'the above-
mentioned location.
Existing~vstem Design and Condition
The system in service at the time of this test consisted of a 1500
gallon fiberglass septic tank manufactured by Sunset Plastics and
a leach trench. The septic system inspection report issued by the
Greater Anchorage Area Borough indicates the system was installed
in July of 1975 by Ted Creamer. Design of this system was based on
a soil absorption rating of 150 square feet per bedroom. Four inch
diameter cast iron pipe was used in constructing the system.
Adequacy Test Procedure and Results
Adequacy testing was begun September 15 and completed on September 16,
1979. During the course of the test 1500 gallons of water was added
to the leach trench. The fluid level in the septic tank was ~
mon...tored
continuously as the test volume was added. &pproximately 1600 gallons
of effluent were pumped from the septic tank after the completion o.f
the test on September 16, 1979.
Based on my measurements of the fluid level in the septic tank and
the rate at which water was added to the leach line, I conclude 'that
this septic system in its present condition,
1) has an absorption capacity in excess of 300 gallons per
day per bedroom;
is capable of absorbing 335 gallons in 46 minutes, which
is equivalent to a short term surge rate of 7.28 gallons
per minute.
Consulting services for:
On-site water and sewer systems, geotechnical and mineral exploration programs, site suitability studies
~Mr. Robert Bensen - 2 - September 17, 1979
Thank you 'for contacting me regarding your adequacy test. Should
you have any questions please feel free to call.
Sincerely,
St .eh A. Johnson
Engineering Geologist
Enclosure