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~' Municipality of Anchorage Page I 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: ~t~J cid o~o'~ PID Number: O5-1 d~ ~ H-7 ~.
N~: ~ ~so~ Wastewater System: ~ New ~ Upgrade
~'~: A~c~ ~. ABSORPTION FIELD
Phone: ~ ~ ~No. of Bedrooms:~ ~ Deep Trench O Shallow Trench ~Bed ~Mound ~Other
LEGAL DESCRIPTION sob RatiO: O.~ GPD/Sq. Ft. Total Depth ~rom[~loriginali l/grade:/
Lot: ~ ~ Block:~ Subdiv~ion:~oy~ 3epth to pipe boh0m~from~ odcnal grade: Ft. Gravel~ I~/~depth beneath ~ I~ ~.pipe ,
Township: .~,~, IRange: ~,~ ISection: ~~ Filladdedaboveorig,nalgrade: Gravellength: /~,~'~ /~ ~/'
0.~ ~ -- ~/ Ft. ~4. /~ / Ft.
Number of lines: ] Distance between lines:
WELL: ~New ~ Upgrade Gravelwidth: ~'~1 Ft. ~ /O Ft.
Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: ~
Driller: Date Drilled: gaticW~ter Leve~: Installer: Date installed:
Yield: Casing Hei ht Above Ground:
SEPARATION DISTANCES ~Septic ~ Holding D S.T.E.P.
To Septic Absorp[ion Lift Holding PubHc/PrlvA[e Manufacturer: Capacity in g~llons:
Prom Tank Field Station Tank Sewer Lines ~< ~ ~
Well- /~o / / ~ ~ ~ ~ ~ ~ Material:~[~ Number °f Comp~rtments: ~
Surface
W~t.r mol /~/+ ~ ~ ~ LIFT STATION
Lot ~ Size in gallons: Manufacturer:
Line ~0 /O / ~ ~
Foundation ~ O / ~f I ~ ~ ~ "Pump on" level at: ~~ High water alarm
/~ p~Electrical Inspections performed by:
Curtain ~ ~ ~C V~ 0~
Drain
Remarks: ~ ~oo~< o~ ~¢~¢ ~ ~. BENCH MARK
Assumed Elevation:
. / /00 .0
Inspections performed bv~..~, m... ¢,~,..¢ ~ Dates: 1 st ¢ ' ¢¢
Department of Health ~ Human~ervices approval
Reviewed and approved by: / , Date: /), ~
72-013 (Rev g/91 ) MOA 25
Permit No. sw940207 Page 2 of. 2
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
LOT 10, BLOCK 2, VOYLES S/D 051064.72
Legal Description: PID No.:
cos
FINAL
'INAL GRAD~
NSULATION--
t250 GAL
S,T.
ilo
1250
SEPTIC
MT
&8~,6' NO ~ATER FOUND
-NEW
A
.FCO.., 5Q'.,
ST1 44' 22'
ST2 52' 28'
CO1 57' 7,2'
CO2 58'
CO3 27' 31
.CQ.~.]2!_ $4'.
MT1 50' $2'
MT2 119' 92'
MT5 100' ?2'
co5 82' $5'
co611o2' ?5'
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940207
DESIGN ENGINEER:DAVID R. DAYTON, P.E.
OWNER NAME:NIESEN GREG J & LENORA H
OWNER ADDRESS:13790 DAVIS ROAD
ANCHORAGE, AK 99516
4444
DATE ISSUED: 7/26/94
EXPIRATION DATE: 7/26/95
PARCEL ID:05106472
LEGAL DESCRIPTION: VOYLES BLK 2 LT 10
LOT SIZE: 43061 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDkNCE 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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
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.
SPECIAL PROVISIONS:
DATE:
DATE:
D. R. DAYTON, P.E., R.L.S.
20210Donalar Chugiak, Alaska 99567
(90?) 696-2417
July 20, 1994
Municipality of Anchorage
Dept of Health & Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
RECEIVED
JUL 2 ~ ~994
Municrpahty of Anchorage
Dept. Health & Human Services
Attn: Mr. Rok~rt Robinson
Re: Lot 10, Blk 2, Voyles subdo, Permit No. SW 940207
Dear Mr. Robinson,
In the proces of designing the septic system for the subject lot a mixup
occured with test hole informaation. I inadvertsntly used soils logs from
test holes on the rear of the lot and perc tests from test holes at the
proposed site.
Submitted now are corrected soil logs and revised design for the system.
Please review and approve for the revised design.
Sincerely, ~
D.R. Daytbn ---
David R. Dayton P,E,
~.o21o Dona]ar St,
chUg~ak, Alaska 99567
pERFORMED FOR:.
~6
7
8
9
10
11
12
13-
14
15
16
17-
18-
19
20
Municipality of ARC',
DEPARTMENT OF HEALTH & H! ~ 'lAN SI_F{VICES
nchora e AI~ "ct 99502-0650
825 "L" Street, A g ,
SOILS L~/G__/.~_;~/~COL~. ~ 'ON 'rEST
SLOPE
SITE PLAN
WAS GROUND WATER f JO
ENCOUNTERED?
S
IF YES, AT WHAT (~
DEPTH? I~
~/,, I,z,~
Depth Io Water AFter, / ' / ,
~onito rig? /V'~'"g ~- Dale: ~
Gross Net Depth to Net
Reading Date Time Time Water Drop
~_ ,, ~1-~- ~/~ ,~ 2~-?~ ~,-,
~ ,, r/~ wz~ ~o ~- ')~ /~
pERCOLATION RATE --
TEST RUN BETWEEN - ·
Iminutes/inch) PERC HOLE DIAMETER
FT AND __C~ -- FT
COMMEN'I'S
David R, Dayton P.E.
~o~,o Do,,.~.~ ,,. , ~(/Z; 4~¥-~-~_ o~.T,~ ~H^~ T.,~ TES~ ~AS PERFORMED,.
PERFORMED BY' CJlt~,ja~F~JJas~/w- z ' ~ ,~ -
ACCORDANC //
72-008 (Rev. 4/~5)
PERFORMED FOR:
L"GA' OEECR,PT,ON:
8
9
10
11
1
2
3
4-
5
6
7
13-
14-
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20~
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
SITE PLAN
WAS GROUND WATER ~
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Oeplhlo Waler Afterz/ .
Monilorin9? /~/o~'u Dale:
Reading Date
2.
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE 7-'~/~ (minules/Jnch) PERC HOLE DIAMETER ~'~
David R. Dayton P,E, TEST RUN BETWEEN _ ~ . FT AND ~ FT
COMMENTS --~O'~lO~[]ai'
Chuqlak, Alaska 99567
....
72-008 (Rev. 4t~)
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 WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940207
DESIGN ENGINEER:DAVID R. DAYTON, P.E.
OWNER NAME:NIESEN GREG J & LENORA H
OWNER ADDRESS:13790 DAVIS ROAD
ANCHORAGE, AK
DATE ISSUED: 6/27/94
EXPIRATION DATE: 6/27/95
PARCEL ID:05106472
LEGAL DESCRIPTION: VOYLES BLK 2 LT 10
LOT SIZE: 43061 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHOP-AGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0) .
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
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.
SPECIAL PROVISIONS:
THE SPACING OF THE DISTRIBUTION LINES MUST BE 2.5'/5.0'/5.0'
2.5', AND THE SEPTIC TANK EFFLUENT MUST ENTER BOTH BEDS AT
THE MIDPOINT OF THE BEDS.
ISSUED BY:
?
DATE:
DATE:
D, R. DAYTON, P,E,, R.L.S.
20210Donalar Chu§iak, Alaska 99567
(907) 696-2417
Lot 10, Block 2, Voyles subdivision
The proposed septic system and well will se~e a 4 BR home on a 0.99 Acre
lot. ~o ln~ ~o ~he South and West are served b~a Community water system~.
~ =~i~V~s~ems on these lots will not be affected. The lots to the No,tn
...... ~ ~ · for se tic systems an~
and East are undeveloped large lots w~th ample r~ P
wells.
The proposed system will have no measurable/impact on reserved areas
or drainage.
; . Davld R. Dayton P.£, .
: : ::{; :::; :::' 20210 Donalar St. :: ~'
::: .': :: ~: ~' !.' ' .:Chuglak, Ala,k,a99.567
PERFORMED FOR:
LEGAL DESCRIPTION:
Municipality of Anchorage
DEPARTMENT OF FIEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Aleska 99502-0650
SOILS LOG -- PERCOLATION TEST
3
/i o
9
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16
17
18
19-
20-
' ~//~',/4..,~'~'2~ ~Township, Range, Section: .~¢4..,.~ ~"/.¢4
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT
DEPTH? pO
E
Depth to Waler Al'ler
PERCOLATION RATE /~ {minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN -- ~¢' FT AND .,..~¢~ FT
COMMENTS
PERFORMED BY: ~'-~e~,~. ~ ~A~I~.~ ~'. , ._~ ~¢~-U~' CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; .
72-008 (Rev. 4/85)
PER FORI~ ED FOR:
DESC,,PT'O :
1
3
7
8
9
10
11
12
13
14.
15~
16
17
18
20
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORME~jD~. ~)p~ ' ·
Township, Range, Section; ~;~. ~ 'TIS',",-) /~t ~
WAS GROUND WATER
ENCOUNTERED?
SLOPE
L
IF YES, AT WHAT O
DEPTH? P
StTE PLAN
~k
I
N
Depth l0 Water Alter ~, O
Monitoring? 0 ~ Dale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~.. FT AND ~ FT
COMMENTS
ACCORDAN6E WITH ALL STATE AND MUNICIPAL GUIDELINES IN E"FECT ON THIS DA'[E' DATE: --
72-008 (Ftev. 4/~)