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HomeMy WebLinkAboutVALLEY VIEW ESTATES #1 BLK 3 LT 2Valley View Estates #1 Lot 2 Block 3 #050-521-41 +a�., )ice n Municipality of Anchorage Page A_ of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: -�j1.J00o 29 9 PID Number: 060— S 2l •-'4 Name: 1� o u ( L�7�-kv Wastewater System: ❑ New 19 Upgrade Address: 99 ABSORPTION FIELD n0 t4 st' 12vae r. 4 - b Phoneb No. of Bedrooms: O Deep Trench ❑ Shallow Trench XBed O Mound ❑ Other LEGAL DESCRIPTION Soil Rating: D• Total Depth from original grade H aD GPD/Sq. . Ft. Loh Block: `S/yr�buivisio�n/• j� 3 V:1tLE VIEW EST. Depth to pipe bottom from original grade: 3o Ft. Gravel depth beneath pipe 0.5F1. Township: Range: Section: Fill added above original grade: Gravel length: r1 6 7Ft. Ft. WELL: ❑ New ❑ Upgrade Gravel width: Numberoflines: Distancebelweenlines: Cfassilication (Privy A,B,C): Tolai Depth: 0 Casefdr��70: Z93 Total absorption area: I 10 (9. Pipe material: SL PVL p� 30 F io X S �(l / FL Ft. SO. FL Driller• l 7�reiLuxI& Dale Drilled: N -/G-96 Static Water Level: AL3 Ft. Installer Twp o14v1�ftN& Dale Installed: Yield: Pump Set at: Casing Height Above Ground: TANK O• GPM & X OcL91U Ft. V+ Ft. SEPARATION DISTANCES 3<sephc ❑ Holding O S.T.E.P. To Septic ublic/Private M nufacturer: Capacity In gallons:'%�/�/'�From -Tank Tank Sewer Lines JeCWl i $%a.V </llll//���� 00 + �--. Material: PG ISurface Number of Compartments:Well 100'+ jAlbsorptionLiftHolding -LIFT STATION Lot dt 1Sizeingal�s: ManulacAorLine Foundation j'Q t 1 "Pump on" level aB "Pump j:level at High water alarmat: Curtain � {C o W,N Pump Make 8 Model li�o.s performed by: I&JfTS ELSTWL• Q - Drain IfSCEE5Ee Remarks: IS S-6me- -r4,yjk BENCH MARK �l%WI PES W6it" RiuD Do Location and Description: ovl F 31®1 it rl /- �1CIST ( `iC Ft i 1�1 fi ROIL /,ot - AssumedElevation: Ft - ENGI L r S & S ENGINEERING Nom: 1st'zq Inspections performed by: 17034 Eaglg River Loop Raad Eagle River. Alaska 99577 2nd `I-2`� -� " C COWAN � w CE 8801 - Department of Heal h and Human Services approval ate: 0 Reviewed and approved by: q'11, �,�Z�P, L �;,Jr ,�o'�•v >►io�,,m. 72-013 (Rev. 9191) MOA 25 Municipality of Anchorage Page t� of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: :!�bJ o4o c n 9 _ Pihhn„I,or- 0 60—.1 Q 1_ 4I f C� at e- S' Wastewater Sys tern: O New XUpgrade Addres9: 5700 WWle rur� �” �;ve q 57y- 666 ABSORPTION FIELD Phone: JL a`T '� No. of Bedrooms: f O Deep Trench ❑ Shallow Trench (}feed O Mound ❑ Other LEGAL DESCRIPTION Soil Rating 0. (oral Depth (rain original grade:\ •J GPD/S .FI. Lot: e�1 Block: %Su/b_divi(si�on: r./ Ic VIeW C$/"". Depth to pipe bottom from origtriaal guidde: JeJ Ft. Gravel depth beneath pipe C ®�J FI. Township: Range: Section: / Fill added above original grile: Gravel length: ^7 i Ft. ,[p, W `Ft. WELL: ❑ New 11 Upgrade Gravel width: Q Ntmtbe6rDI lines: Distance belwee lines: eJ Ft. V Classilic Zion lPriyyate. A,B, T,o,tg¢lRe the Cas tlg To: - k 5'Titri A� `t FL Total absorption area: ��D / P'pe materiaC3 Gd 0 FL _r-�FL_ Orilla: Date Drilled: Sialic waferyevel: �� bri ��t `�-I$� / � ifs Ft. V(so.Fl. Installer. Tt ueed �x LSV Date installed: �© Yield:�t mp Set at: Casing I fright Above Ground_' .-7%+ Ft. (✓O GPM UR k--, F1. 1 O_F) TANK SEPARATION DISTANCES 6ISeptic El Holding ❑S.T.E.P. Septic Tank Absorption Field LIII station Holding Tank public/Private Sewer Lines kknulaclurer: b`feMF �^Of/f j$ Capacity in gallons: / �04n,11 Well00'4- 4M M2lerial: � � Number o(Compartments: [CtDrain k Q7 (' ` (moi ('�'} LIFT STATION T, IA' 44* -a\ '•� f•/J1 Size in gallons: Manu ter. �� i \ ..Pump on" level at: "Pur leve High water alarm at: h (�/. Pump Make Electrical Inspections performed byO/? Remarks: F_X,ST/N4 Sr,1jT /c- yRNsc BENCH MARK pum/a�t3 G�Vsldro AoD AaAaoa�� Location and Description: 1� oall �'k�f;�,,,G t-Eea`YviiFi�`iJ .g/�ANAprtYQ t u ©If! Aslevalion: too ENGI EAL S»OF.44 . : S & S ENGINEERING 17034 Eagle River Loop Road, No. 204 Inspections eriormed b P p TEagle River. Alaska 99677 Dates: Ist• —P9 0 i••r» 9c :..... 2nd 3�QO �. ...,-.....- .. Fr'na11— -00 Department of Health and Human Services approval 9 ROBERT C. COWAN f t �t� ^�� cE.a�o1 A Reviewed and approved by: / .NDate: 72-019 Inpv. 9/a1 l etnn 9p - PERMIT NO. SW000249 PAGE 2 OF Municipahty of Anchora e DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 O Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 WASTEWATER ASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 2, BLOCK 3, VALLEY VIEW ESTATES #1 P.I.D. N0. 050-521-41 PERMIT No. SW000249 PAGE 3 of _ 3 Municipo,(jtv of Anchora e DEPARTMENT OF HEALTH AND HuRAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0Anchorage, Alaska 99519-6650 O TeIpphone 343-4744 WASTEWATER ASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 2, BLOCK 3, VALLEY VIEW ESTATES #1 P.I.D. No. 050-521-41 FINAL GRADE ST1 ST2 C01 TOP 2' 94.1' INSULATED 2" INSULATION -a EFFLUENT OUTLET NEW •>:e�����T n,.rv�n c r s?e n uN 1300 GALLONA B 91.0' POLYETHYLENE FCO 13.0' 16.5' ST1 46.0' 21.5' SEPTIC TANK ST2 49.5' 24.5 C01 51 .5' 26.5' MH 53.5' 28.0' 90.7 MT1 30.5' 36.0 MT2 40.0' 49.5' MT3 84.5' 69.0' MT1 MT2 MT4 90.5' 79.0 MT3 MT4 MT3=101.4' MT1=102.0' MT4=106.5' MT2=105.1 ' FROM S.T.E.P. SEWER ROCK MT1=97.8' MT2=97.6' MT3=97.8' MT4=97.6' 18' N. T. S. PRESSURE DISTRIBUTION SYSTEM: . ......... PUMP = BLASTER 20EB (-30 GPM) C�P•''•. ,�� 6 LATERALS - 30.5' LONG = 5 GPM/LAT.Zy'' 11 HOLES/LATERAL - 3.0' O.C. th 66 HOLES TOTAL = 0.45 GPM/HOLE 1/8"4 HOLES FACED DOWNWARD 1-1/4'0 LATERALS qe t ROBERT C. COWAN f 2"0 SOLID MANIFOLD 0 �" 1 WATER FOUND @ 92.6' c�slti� CE -8801 r���jr 89.6' B.O.H. AUG -07-00 MON 09:16 HEAVENLY LIGHTS ELECT CO 373 3894 P.01 Heavenly Lights Electric Inc. 900 S. Grantham Rd. Wasilla AK 99854 To: Tweed Excavating Concerning: Lift Station Hook-up Bob the lift station at Majestic Valley Estates Sub- Division, Lot 5 Blk 3, was hooked -up by a licensed electrician. John Roudebush Pres/Sec RECEIVED AUG 16 2000 Municipality Ot Anunw ay$ Dept. Health & Human Services Permit Number: SW000249 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 20, 2000 Expiration Date: Jul 20, 2001 Parcel ID: 050-521-41 Legal Description: VALLEY VIEW ESTATES #1 BLK 3 LT 2 Design Engineer: 0003 S & S Engineering Site Address: 025700 WHITE SPRUCE DR Owner Name: Michael J. Bouwens Lot Size: 76507 SQ. FT. Owner Address: 25700 White Spruce Total Bedrooms: 4 Permit Bedrooms: 4 Eagle River , AK 99577-9666 This permit is for the construction of: 0 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. Received By: Issued By: C _- 00 Date: ;L Date: " ;7- 't 0 — D S& ROBERT C. CIVIL ENGINEERS (907)694-2979 FAX (907) 694-1211 P.E. July 13, 2000 HEALTH AUTHORITY APPROVALS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWER&WATER MAIN EXTENSIONS REFERENCE: Lot 2, Block 3, Valley View Estates Subdivision SEWER& WATER INSPECTION It is requested that you issue a permit to upgrade a septic system with a pressurized bed and lift station to serve the existing four bedroom dwelling on the referenced property. ENGINEERINGSTUDIES ANDREPORTS A test hole was excavated and a percolation test was performed on 6/1/00. The approximate location of the test hole is located on the attached site plan. Ground water was monitored as shown on the attached soils logs. After seven days of monitoring, water was found at 9 feet. WELLINSPECTION & FLOW TEST We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent SITEPLPNS properties. If you require additional information, please contact us. ROAD DESIGN Sincerely, SOILTEST 2 4 Robert C. Cowan, P.E. RCC/jhm PERCOLATION TEST Enclosure STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DiSPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 P.E. SITE PLAN II DESIGN II 1 " = inn' (-) F D ftON V tO I JO Me O r lm V N � otl F Z E c h I m; arm 1 i i Ono o c � I mo J I I A Z 1 I I ` I _ 20' Utll Esnt � 1 I P V G I I r _ O � O H I C D Z O /• 0o a O A :DZN /I m w O m /I L, a Z p'� I / NO m N n CO{ no 0 1^m ✓ m m rm(n D m / m mo 0 I aMv � D / V oz z \`\�O_ m Ix x A mIA1 Z Z �✓�/ ��O Dr+O- 1 ~V�+tWP r 00. 1 O W N m<n �3Z Z> Oz �0m �m \ o ooy mro 150 pyD CC G V oZozo I z z (\, oo-I� nWW I / F P o � ftON V tO I JO Me z ADjI lm V N � otl F rn-o.0 td rnWad E c h I m; y x 4 W 1 i i Ono o c � I -_IW A J I I A Z 1 I I ` I _ 20' Utll Esnt � 1 I P V G I I H I M< N[ o �. O /• 0o a O A /I I m /I L, a I / NO m � q 0O no 0 1^m ✓ m m mo 0 I aMv � D mroo C Ix DSO ; 1 �✓�/ r ti / F P o � ftON V tO I JO Me z ADjI I 1 I soG�O� b 1 rn-o.0 td rnWad E I Sq I 1 i i Ono o c � I -_IW A ------------- 15' Utll Esnt 1 I I ` I _ 20' Utll Esnt � 1 I P V 1 I I I I I N I I I I , I 1 - ; I mo I I I I •� N ; I I 1 I I ------------------------ I�o><zs uw Esl,t N ftON V tO I JO Me z ADjI I 1 I 0 p C p n rn-o.0 td rnWad E 1 I I I I AO 1 i i Ono o c � I -_IW A rO �mm ONA'�—'—' z 1 I I ` I _ ti o �i, 4%U-LaO -i M< N[ o �. 0o a L, a o ✓ m m is CJ g � D C n a O r ti �c CC G V oo-I� nWW I t� WK- n�c rn W zm zp mpp rP cm"= O O D A r y ti vmzp DA W z �00 I -y TI��O rzimimmmm z Womb{ — Do zmpZ Wo o n z i n 00, zm z ZA Z. N i A omo z ADjI I 1 I 0 p C p n 1 i I 1 I I I I AO 1 i i Ono o c � I -_IW A 1 I z 1 I I ` I _ O TI A omo z ADjI V� 0 p C p n AO 0^ 00 Ono o c \ S� �� •L -_IW A D z f `fty ti o �i, 4%U-LaO O TI ro 0 SITE PLAN DETAIL II 1" - 50' O D F- 0 O z O i Z I � � I \ I \ \ 1 �y N� SERM FTI x o z loFFJo F- n O m F- m,U >0 O m = O m � mm r 0 0 �CO m - O X AVO A CD c - --- \ \\ C O X z m X m D m \\ �m Uj --- G � G r D m z r- Z m \n. r G CD 0 UD 0 U) \ X 0U) z U) 9 U) m n \ O > m m 0 0 0 F -Z n C] O D F- 0 O z O i Z I � � I \ I \ \ 1 �y N� SERM FTI x o z loFFJo F- n O m F- m,U >0 O m = O m � mm r 0 0 �CO m - O X AVO A CD c SITE PLAN DETAIL N.T.S. SCALE yo DOm 10 AbN I Ay0 N�b9 (� •.ysfi- Y�f1 Vfnp b I O O I � O $. 01 i o - -71 C) Q �r yz �o `�C) O n —I 7J ® �`� I G G� � D I I r ® O o J m x D O N i y m G) D Dr C I m > D D Z �t I � O > D I I � O N O I O I C a� m> D D C7 D O ➢ADOOm r� a�./ I -*y r `J Z�FFI •DCD O mr OrD� y (\D O D d >f U)r `'O `2 Z ^ z V n FFI m m N -u O C/) o <' J f 1t + n A A0•0 cls I;11� O'. f! z } • �1p N.T.S. PROFILE 11 DETAIL no i fm D r0 \ m m ., Ind COOJ � �� AOOC �D -'.+ C n\ N p mm mmCm m C \ \ C O r o {� \� >Nj A = - ;U —I A ro�D O m O m G7 '7 O O c -- mom-{ Z m - r m O D r mr x m Z C,O W X m E Om m < N co N m v D N < m 3 r m CID rm < IF C PERI LEG, c i E / E 0 10 11 12 13 14 15 16 17 18 19 20 TEST RUN BETWEEN FT AND —i-- FT COMMENTS $ & 5 EN[71NtCRINV PERFORMED BY: 77034RE��egrIA River Laop ROad NO. 2041 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WI1 .�BL .$TE AIND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 577 �J //0 /UO 72-008 (Rev. 4/85) ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907) 694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES HEAITHAUTHORITY APPROVALS and MATERIAL SPECIFICATIONS SEWER & WATER MNN E TENSIONS - REFERENCE: Lot 2, Block 3, Valley View Estates Subdivision July 13, 2000 SEWER&WATER GENERAL: INSPECTION 1. The scope of this project includes the installation of a 30" diameter wastewater lift station and a pressurized absorption bed to serve the existing ENGINEERINGSTUDIES four bedroom residence located on the referenced property. ANDREPORTS 2. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and WELLINSPECTION all applicable State and Municipal Wastewater Disposal Regulations. &FLOWTEST 3. The contractor shall be responsible for obtaining any necessary underground utility locates. SITEPLANS 4. 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 owner shall be ROAD DESIGN responsible for ensuring a satisfactory vegetation growth over the mounded area. SOIL TEST 5. 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. PERCOLATION TEST LEACHFIELD BED INSTALLATION: STRUCTURAL& 1. Excavate the proposed Bed Area to the depth shown on the design. The MECHNJICAL INSPECTIONS bottom of the excavation shall be within 2 inches of level. If the bottom of the excavation becomes smeared, it must be raked or scratched (ruffed -up) before gravel or sand placement. ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 Page 2 Lot 2, Block 3, Valley View Estates SID July 13, 2000 2. If a sand layer is required, place sand over entire excavation to the required depth shown on the design. The top of the sand layer must be within 2 inches of level. 3. Sewer rock shall be placed uniformly throughout the entire bed. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. Gravel depth below the distribution pipes shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. 4. The distribution piping must be as shown on the design. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. 5. Silt barrier material must be installed between the final gravel layer and the native soil backfill, unless insulation is used, then the silt barrier should be installed over the insulation. Ensure the silt barrier covers the entire gravel surface before placing backfill. 6. Monitor tubes shall be of four (4) inch diameter, installed at the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel depth shall be perforated six (6) inches below the bottom of the horizontal distribution lines. The monitoring tube should not extend below the bottom of the gravel surface. 7. 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. The finished grade over the bed must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pine Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Page 3 Lot 2, Block 3, Valley View Estates SID July 13, 2000 Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the 9200 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, which ever specifications applies. INSPECTIONS: 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: 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. 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 contractors 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 Page 4 Lot 2, Block 3, Valley View Estates SID July 13, 2000 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 contractors activities. Final acceptance of the contractors 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 & 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 PHONE [] NEW MAILING ADDRESS LEGAL DESCRIPTION ~ / ~ LOCATION NO. OF BEDROOMS ~ ~ Manufacturer Material No. of compartments m ~ ~ Liq. capacity in gallons inside length Width Liquid depth IF HOMEMADE: ' ~ DISTANCE TO: Well Dwelling PERMIT ~ ~ ~ Manufacturer Material Liquid capacity in gallons ~ ~ Well Foundation Nearest ]et line PERMIT NO. ~ ~ DISTANCE TO: ~ ~ ~ No. of lines Length of each line Total length of lines Trench width Distance between lines ~ I~ inches Q~ ~ Top ~of til to ~fi ish gra~~ t ~ ~, Materia~ beneath tile inches Total effective absorption area Length Width Depth ~ PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot bne PERMIT NO. m Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS SOl L TEST RATING INSTAELER REMARKS J A~ DATE ~ ~ 72-013 (Rev. 3/78) HFFLI _.hi'II LOE:FIT I ON LEGRL ~-.-~ L1 !'...~ Z E: Lf. F' FI L_ :~"]F'.~" ,:7,. F= ~ ~-~ ~%: }.~ C} [:,EF'FIRTMENT O~%.HEI~LTH RND ENVIRONMENTFI~, ~FF o.=.~ L _,TREET, FINC:HO~:F,3E.. FIK. 5'5'.. MIKE BOUHENS ~R t445 ERGLE RIVER ~. _¢ [. ,'- .-~ L2 E,_.. VRL_LE'T' VtEH ~¢ ', LOT :,I,:E ~ SQUFIRE FEET T'¢PE GF' :,UIL HL,..,uF. BTIuN mT.:FEtl I~: DRRINFIELD ' MR:=:IMI_IM NI_IflEER OF BEE:,RCIOM:-5 = 4 SOIL F. RTIN.~.."-- THE REQIJIRED '~ -'' -. . _I,:.E ~L HB_.~.'PT~:~N SY'_:FrEM ~:~;: at:r o q ,'2.tf }.~ ' uJ~om 5.'~"' : THE LENG'FH [:,IMENSION IS TNE LENGTH <IN FEET> OF' TIdE TRENCH OR DRFIINFIEL. D. THE DEPTH OF R TRENCH OR PIT IS TFIE DISTFINCE BETHEEN TFIE SURFFICE OF THE GROUND FIND THE 80TTOH OF THE E::4CRVF. I'FIOI'.,I (IN FEET). THE GRFI',,,'EL [:,EPTH IS TFIE MINIMUM DEPTH OF GRRVEL BETHEEN THE OUTFRLL PIPE RN[:, 'FHE BOT'FOM OF THE EXCRVRTION <IN FEET>. PERMIT HFFLI ..PIN F HFIS THE RE.-,FuN...,IE, ILI FT TI] INFORM TI IIz DEF'RRTMEFIT [, F'ING THE INSTFILLFITION IN:,FEL. TILIN:, OF RN'¢ 1,4ELL_, RDJRCENT TO THIS F'RCPERT'¢ RND THE N_MBEt. GF RE.~I[.ENL. E_, TF1RT TFIE WELL HILL SER'v'E. ........... "F I---I C, ,:'. "-:',=..':, I ~'-,~ .:, F E L. ~ I J I' ,~ .._ Ft F:: E F'. E£. ,_.s...,.. LI :E F: ~E [: EP_.k. FILLIHa L-IF RN'¢ _',~r:TEH HITHOI..IT FINRL IN_,FEE. IILIN FIND HFF~ .... IfiL E,' THI_, [:,EF'RRTMENT W ILI._ E,E .:,IJE,.J E _.'[ Ti_-t -PRO~;ECI_IT I i_]N. MINIMUM DISTRNCE BETHEEN R HELL BN[:, FIN'¢ ON-SITE SEHRGE DISPOSFIL. S'¢STEM IS tEIE1 FEET F'OR R PRIVF-ITE HELL; OR 15~1 TO 2E~£4 F'EET FROM R PUBLIC HELL DEPENDING UPON THE T'T'PE OF pIJBLIC HEL..L OTHER REQUIREMENTS MR"r' RPPL'¢. SPECIFICflTIONS RND CONL:;TRUCTION DIRGRFIMS RRE 8',,,'RII,_RBLE TO IN'RURE PROPER INSTRL. LRTION. F E-FL! I i[. 'l" E.--.F :[ F-'.FZ .... [-'ECE~ IE.E.F .... ::-:J-.. -' I CERTIF"r' THRT :L: I FIM FflMIL. IFIR WITH I'HE REQUIREEMENTS FOR ON-SITE SEHER':T, RND HELLS R2; SET FORTH B"r' THE MUNICIPFtLI'I"~? OF FINCHORRGE. 2: I HILL INSTFILL THE S~'STEM IN FICCORDFINCE HI]'H THE CODES. Z;: I UNDERS~rFIND THFFF THE ON-SI'f'E SEWER S'¢STEM NR'¢ REQUIRE ENLRRGEMENT IF THE 0 f:t- E GEO,ECHNICAL ~- DEVEL,,)PMENT CO. Russell Oyster 694-2774 Soils ~ Foundations Performed for: Box gO; Davis St., Eagle River, Alaska 99577 694-2774 or688-2280 SO]L LOG Hatltng Address: ~';~; Legal Description:/~ Depth (feet) 2 3 7 8 9.~ 10~ So~3 Characteristics 11 12, Ground Water Encountered: Yes._...~__~ No Proposed Installation: ,Seepage Pit If yes, what depth Drain Field_ Comments: . Date: ertifie Drilling by A & [, DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE094-2588 OWNER OF LAND ADDRESS ,~"/- ff / LEGAL DESCRIPTION DATE- Started 4'~-//o'~/i]_ Ended PERMIT NUMBER 7 ~-' 0 DEPTH OF WELL d~] ~£'() cZ ~ I-?pSTATIC LEVEL OF WATER FT. L.)/ e 'WDRAW DOWN ~. GA~. PER HR ~D KIND OFCASING f~ ~ 0 O KIND OF FORMATION: From (~ Ft. to J From /,.,~7 Ft. to From ../~"d,~ Ft. to Fromm'-' Ft. to From ~ ~" Ft. to From I]0 Ft. to J~ From { 3JF' Ft. to From J ~]~' Ft. to From /g'~~ Ft. to From ~ ~), Ft. to From YA}.o Ft. to From ~C~(~ Ft. to ~ ~& Ft. From ?Q*~ Ft. to From<J4'('~ Ft. to ~O Ft. From Ft, to__.Ft. From Ft, to .Ft. From Ft. to Ft Ft. f':/d/'' From-- Ft. .P//J ~./0 ~/G'''0 From__ Ft.~ 6>~F ~' ~d From Ft, ~L~ C<~ From Ft. ~L O I~ C ~ ~ ~ From Ft. CL //~ ~dJ~C From ~Ft._ ~-O ~Oq/< From From From From From From Ft. to Ft. Ft. t~ Ft. Ft. to Ft. Ft. to Ft Ft. to Ft. Ft. to Ft Ft. to Ft. Ft. to Ft._ Ft. to__ Ft Ft. to__.Ft. Ft. to__.Ft Ft. to Ft Ft. to Ft. Ft. to Ft. __ Ft. to__Ft. Ft. to .Ft. Ft. to Ft MISCL. INFORMATION: DRILLER'S NAME PEF::N I T 13, EPFIRTi"IEN]" E),' IqEFtLTH FINE:' IE'N',,,' ! RONI'iENTFIL F,.:.OTECT 101",1 :.:i~25 '" L '" STREET., FIF'F;L I CFII',IT LOCFIT 1 O1'.4 L. EGRL I"I~CI--IFIEL. J. E:E~U[,.!E!',IS ',/I.::ILLI,E"r' ',,,'tE~4 ES-rFI-I*ES SR !445 EFiGI._.E RIVER L.OT SIZE 'TE;3:~:E; S(;!UFIIq:E F'EET I"IlNIP1LIH DISTRI"4CE BETI.qEEN R 1.4ELL. RND Rl"4"r' OI'4'-SITE SEWRGE D!SPOSFiL.: S'r'S-f'E:M IS 2LEIO FEET FOF.': :1_50 TO 2',_:ilIF~ FEET FROI"I FI F'UE',L:[C: !4EI._.L DEF'EN[:,INEi UPON THE T"r'PE OF PUE:LIC 14Ei_L. 14ELL LOGS RRE REQUIRED Ri'ID I."IUST BE RETURNED TO THE DEPRRTI"IENT I.'.IITHIN 3G DR'CS OF THE 1.4ELL COI-'IF'LETIOI'.4. OTI-.4EI.;~: I.;;:EQU!RIiEMENTS i-'lF:l"r' APPL."r'. SI,:'ECIFICFITIONS laND COI",ISTRUCTION I}II,::IGRAMS FIRE FI"/FI]:L.F:IBL. E TO !NSUI.R[:J PROPER INSTRLLF~TIOIq. t CERTIF"/ THFIT 1: I FIPI FRFIIL. IFIF~: I.'.I]:TI-I TI,-IE REQUIREI"IENTS FOR ON"-SITE :~;EI.,.IERS Rf',ID 1.4ELLS RS SET 2.i'.: t 14ILL INS'FRL.L. THE S'¢STEM IN FICCOI;:DRI',ICE 1.4ITH THE CODES. '~ ~mUN~a 2 ~-:~--I q MUNICIPALITY OF ANCHORAGE DEPT. OF i';!ALT, f I&  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~:~I~'IRONMENL,.L 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 DSE REQUEST fOR APPROVAL oF iNDiVIDUAL WATER AN DIRECTIONS: Complete all parts on page 1. Incomplet~ reqdests Will hot be processed. Please allbw ten (10) days for processing. PHONE PROPERTY RESIDENT (If different ~m above) ' - ' ' ' PHONE 3. LENDING INSTITUTION . PHONE 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION NUMBER OF BEDROO S 6. TYPE OF RESIDENCE OL~ One Four E~'~Sl NG LE FAMILY [] Two [] Five EE] MULTIPLE FAMILY [] Three [] Six [] Other WATERRSUPI?SUP LY E~/INDIVlDUAL* * ATTACH WELL LOG, A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8' s EWA~i r~ iA~i~)Y~i[/MO N _S i T E.. **If individual/on-site, give installation date~C~\~ ~}~'~. If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/7S) THIS SIDE FOR OFFICIAL USE ONLY DA~E RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Corer action Verified INSTALLER []Septic Tank or I~]Holding Tank Size:~ lf Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER 4. DISTANCES Septic/Holding Tank Absorption Area '~Se~ver Line Nearest Lot Line / WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS [~"~ APP ROV ED FOR ~' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78)