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HomeMy WebLinkAboutTIMBERLUX #1 BLK A LT 3ATI*mberlux #1 Block A Lot 3A #018�271 �27 Municipality of Anchor uBMITTA `° © Development Services Departm Building Safety Division r In hI 2 4 2012 Onsite Water and Wastewater Program, 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 5VJ0jo12S PIDNumber: 0tt3--2--I-_ Name: F-rA Wastewater System: ❑ New ❑ Upgrade Address: 424D tot ABSORPTION FIELD Phone: Number of Bedrooms - 11 ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other: LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Ft` Ft. Block: Lot: Subtlivision: 3A T Depth to pipe bottom from original grade: Gravel depth beneath pipe: Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel Length: FL Ft. 6: - El New E] Upgrade Gravel width: Numberoflines: Distance between lines - Ft. FL Classification (Private,/, B. C): Total Depth:Cased to: Total absorption area: Pipe Matenal: Ff. FL FF Driller. Date Drilled: Static Water Level: Installer Date Installed Fl CC ��� O Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. FL SEPARATION DISTANCES Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic(Private Manufacturer. - Capacity: From Tank Field Station Tank Sewer Line Greg Gal. 1150 Well t lon + Material:t P1Ul Number of Compartments: Surface Water pr LIFT STATION Lot Line (,, t,F Stu: Manufacturer Gal. Foundation 5 f Pump on" level at: 'Pump ofr level at: High water alarm at: n. n. n. Curtain Drain N. or Pump Make & Model Eleclncal Inspections perromned by: Remarks: 4�112 BENCH MARK e6vihe! m0A Location and Description: B.Lr Qep {k o n,_�; zvot mss} 0 Assumed Elevation: COrnm of house 100 Ft. (� j Inspections Jur W Engineer's Stamp performed by: ar avtA Dates: 1� Zai 0 2nd -- OFA4lel S`� Development Services Department Approval ,' ca.Q (►� Conditional ApprovalDate: %' � 9 TH 10 b" r ':LARS E. SPPRKLAND.-e / I'cu' 1501 Reviewed and approved by: Date: (Rev_09/06) 11� PIy�FE��� I1 Ir r r1 rr /1 13 E. . m \� I2 INSTALLED NEW 125 •D °�. f .G GALLON POLY SEPTIC � Ia 0 INSTALLED GW SWING TIES MONITOR TORE A[LANOONED EXLSILNC A I B I ( SEPTIC TANK q, C 125.5'115.0'1 H-- - - I (VACANT) 25 0 25 50 75 100 125 150 SCALE, 1' = 50 FT INSTALLED DOUBLE I\ CLEANDUTS J p� I D 1340112.5 1I G 47.0 19.5 I NEfGHBORING yy£LLS > 200' s/- 5 FEET COVER ,,�,, ]]]NSTALLED PERFORATE A jj/ cw NUNITDRIN6 TUBE INSULATION F.DNN£CTED TD I I I EXIST DRAINFIEL➢ 1250 GALLLIN PLTLY SEPTIC TANK NOTE: THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMFNT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. BENCH MARK BOTTOM STEP LANDING NE HOUSE CORNER ASSUMED ELEVATION 100 FEET D FDIm "I N CLEANOUT CONNECTED TO EXISTING PIPING 49th IR:l:i1 203 WANU L: AVEN.K/NCi I I TIMBERLUX /I BLIP A LT 3A I I SEPTIC SYSTEM ASBU11T 203 W AK. AVENUE DATE: JULY 30, 2009 ANCH. AK. 99501 FRA N1( AVEZAC (907) 279-3916 4140 RABBIT CREEK ROAD, ANCHORAGE, AK 99516 SHEET.•1/1 GRID. 3136 PERMIT # SWO90125 PID # 018-271-27 5REENBR3VKBIL7DI.DV5 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW090125 Legal Description: TIMBERLUX #1 BLK A LT 3A Date Issued: Jul 24, 2009 Expiration Date: Jul 24, 2010 Parcel ID: 018-271-27 Design Engineer: 0007 SPURKLAND ENGINEERING Site Address: 004240 RABBIT CREEK RD �. Owner Name: Frank Avezac Lot Size: 54450 SO. FT. Owner Address: 4240 RABBIT CREEK ROAD Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-0000 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. Received By: Issued By: 44_1� sr Date: i Date: —Qq Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 01P)_ t : Propertyowner(s) rah Ayr -7,,c- Dayphone Z30-1810 Mailing address 1240 Ru ii Cre& Rely AmI,AK Zip Code 1951(6 Site address — 5-,.+%6— Zip Code Legal description (Sub'd., Block & Lot) LW3ejwx *1 BIK A L+ 3A Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms y THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field ❑ Initial ❑ Septic Tank Upgrade CK Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ 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. 7 (Signature ck property owner or authorized agent) Permit/Rush Fees: _5� 3 0 Waiver Fees: Date of Payment: :7 — %� Date of Payment: Receipt Number. - ! LP 2 Receipt Number: (Rev. 11/05) Environmental Consulting and Design July 24, 2009 Municipality of Anchorage Development Services Department Building Services Division On-site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Subject: SEPTIC TANK PERMIT APPLICATION TIMBERLUX #I BLK A LT 3A Ladics and Gentlemen: We are submitting an application to upgrade the septic tank for this lot. The existing septic tank has collapsed while being pumped on Wednesday and the house is without sewer service. The submittal consists of one (1) drawing showing the present improvements on the lot and the proposed improvements of the lot, of which only the septic tank is subject to this permit application. There are no wells within one hundred feet of the proposed replacement site. The installation of this septic tank will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses within 100 feet of the proposed septic tank location. The proposed septic tank will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or are in need of additional information please contact me at 279-3916 Si cerely ab Lan Spu kland,P.E. 203 West 15'b Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng�a)gci.net I/ / l /NSTAIL fOUN / CLIED co cj I2 CdISTALL NEW 1250 DN vocY sE C O Now I � �-- o fiNS' OW ,A0rv1MR rue£; I -L_ - / (YACANT) 25 0 25 50 75 100 125 150 SCALE, I' = 50 FT •v ¢� I NEIGHBOR/NG WELLS >) I 100' N- 5 FEET CUM I INSTALL xuarAAwrs 1 \ INSTALL PCRAG TUBE CL£MQ/1S J 7\ cv IE7N1rL1PINc Tue£ INSTALL Fp.NDATMI LYEAAwr CDAWCT m £XISTA6 PIPIAG cuMcr Im � EXIST MAIIl1£LD 1250 CALLLN P2Y S£PIIC IMM NOT£: THIS IS NOT A SURVEYED PLAT. WELL C SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROX/MATE. 49th SPURKLAND 0 SPUNK"NV LNUMMINU I I TIMBERLUX,� 1 BLK A LT 3A I I SEPTIC SYSTEM DES/GN 203 W 15TH. AVENUE DATE: JULY 23, 1009 ANCH. AK. 99501 fRAN AVfZAC SHEET 1 1 GRID: 3136 1907) 779 -_TW S 4240 RAW CR£fK ROAD. ANCHORAGE. AK 99516 PERMIT # SV0900XX PID k 018-271-27 GREENBROOKBIL7BI.BVG , spuMmd Efigoflearolmg Environmental Consulting and Design Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: Timberlux #1 Block A Lot 3A Date: July 24, 2009 General: 1. The owner shall contract with a contractor to perform the work outlined in these specifications and plans In accordance with the attached MOA permit. There is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will Inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the work Includes the Installation of a new 1250 gallon poly septic tank. The location of the drain field is shown on the attached site plan drawings. All components of the proposed septic system must be constructed a minimum of 100 feet from any surface water or water wells in the area. A minimum of 4 feet of earthen cover is required over the septic tank. If less than 4 feet of cover Is available, 2 -inch thick, 40 psi, direct bury board foam shall be Installed directly over the septic tank and all Installed piping. 3. Construction shall be In accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, On-site Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc. S. The property owner shall be responsible for final grading any depressions formed from settlement of backfill material. The property owner Is also responsible for vegetation of all areas disturbed by septic system Installation activities. 6. Contractors Installing wastewater disposal systems must be certified to do so by the MOA DSD, On-site Water Wastewater Program. Property owners Installing their own systems must receive advanced approval from MOA DSD prior to system Installation activities. 7. The contractor shalt ensure that ALL materials being used are In compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used in the Construction of Onsite Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. 203 West 151° Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.nct Environmental Consulting and Design Septic Tank Installation: 1. A new septic tank, of the size specified in the design drawings, shall be procured from a qualified manufacture/supplier if the existing septic tank is found to be defective. Construction shall Include two 4" diameter cleanouts for pumping access. 2. The burial rating of the tank shall be adequate for the actual burial depth encountered. 3. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 4. All standpipes on the tank shall extend a minimum of 12inches above the final grade. A ground water monitoring tube shall be installed next to the tank. S. Tanks Installed with less than 4 feet of cover shall be insulated. 6. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 7. The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be sufficiently compacted to prevent future settlement of the soil. 8. Septic tank inlets, outlets and deanouts shall be fitted with water tight couplings. 9. A cleanout shall be Installed 1 to 4 feet from the foundation. 10. Post tank deanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there Is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 12. The tank backfill shall be graded suffidently to ensure positive drainage away from the tank. 13. All holding tank and lift stations shall have an audible and visible alarm Inside the residence being served. 14. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical Code. A municipal electrical permit and Inspections must be obtained where required by the MOA. 15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from any residential water well, 150' from any class'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. 16. The contractor shall remove or abandon the existing tank in compliance with the Uniform Plumbing Code. Inspections: 1. A minimum of one Inspection Is required by the Municipality of Anchorage. These inspections must be conducted under the supervision of a Professional Engineer licensed to practice In the State of Alaska. 2. The septic tank may be set in place, but may not be backfilled. 3. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use in preparing the record drawings. 203 West 151h Avenue Suite 203, Anchorage, AIC 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCgci.net Environmental Consulting and Design �\J 4. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours notice is required prior to the start of construction. If necessary, a preoonstruction meeting will be held onsite. 203 West 15'" Avenue Suite 203, Anchorage, AIC 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCagci.net MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 1 ENVIRONMENTAL ENGINEERING DIVISION y 825 L Street • Anchorage, Alaska 99501 Telephone 2644720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME Ci.rtj elf ,r,..6 PHONE -744 3S611 CI NEW Et'iUPGRADE MAILING ADDRESS I Po B-6 /10 383 A^c4a,I t /Alai-/«- LEGAL DESCRIPTION 7-#-nhe-/k-c * 3 to 3fi 131 c/ .4 S -t 3zt r/z/✓ LOCATION Q alGl'/ Cret/c RJ• aGgK E/re+.: � NO. OF BEDROOMS 4 ca DISTANCE T0: Well Absorption area Dwelling PERMIT NO. _Y 1-z Manufacturer . Material N . of compartments rn Liy. capacity in gallons HO MADE: Inside length Width Liquid depth Y Joz DISTANCE TO: Well Dwelling PERMIT NO. iF Manufacturer Material Liquid capacity in gallons O W= DISTANCE TO: Well /30 clyses+ Foundation U Nearest lot line /O PERMIT NO. Q J'o 326 Z Z f.? W113. No. of lines Z Length of each line '31— Total length of lines TC Trench width 30 -1L inches Distance between lines 1 / fy+ f o Top of the to finish grade ct / Material beneath the G[, inches Total effectivC$bsorption area Yt30 fir' W i-7 Length Width Depth PERMIT NO. i n W Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot linePERMIT NO. W � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER it PIPE MATERIALS Cl F $/o SOIL TEST RATING !9} Qr /.L. f o SE . � 0 t 3 l t oIt t INSTALLER REMARKS Inn lt7r/ zy r 'y �IoA Ir f t -G2 � 6 �✓ infw(4t11n � `/"- eves //S' /fnG ZIP L r APPROVED DATE LEGAL s 3y 7RNn3 x-2/'81' rl fh brr/wy it 3 L.t 3h B/"r I 7Y013 IRev. 3/781 MUINA I C I f=*faL__ I T'N' OF ANCHQF,-A[3E DEPARTMENT C� HEALTH AND ENVIRONMENTAL JTECTION 025 L. STREET, .ANCHORAGE, AK 99501 264-4720 C3N —SIT E S E W S F2 PERMIT NO: 850328 DATE ISSUED: 06/19/85 APPLICANT: CARLS EXCAVATING ADDRESS: P.O. BOX 110383 ANCHORAGE, AK 99511 CONTACT PHONE: 346-3568 LEGAL DESCRIP: SUBDIVISION: TIMBERLUX #3 SECTION: 34 TOWNSHIP: 12N LOT SIZE: 1.25A (SO.FT. OR ACRES) MAX BEDROOMS:, 4 Listed below are the options available to you system. Choose the option - - - - - - - - - - - - - - that best fits your - - - - - - - - - TF2ENC1 1 DEPTH TO PIPE BOTTOM (FT.) 4.0 GRAVEL DEPTH (FT.) 5.0 TOTAL DEPTH (FT.) 9.0 GRAVEL WIDTH (FT.) 2.5 GRAVEL LENGTH (FT.) 78.0* GRAVEL VOLUME (CU.YDS.) 39.8 TANK SIZE (GALS) 1,250.0 ** SOIL RATING (SQ.FT./BR) 194 ** GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - F=>1-_-r-RM I T ACO LOT: 3A BLOCK: A RANGE: 3W in designing your septic site. E3E D 5.0 0.5 5.5 25.0 47.0 43.6 1,250.0 ** 193 W. I7Fzz ink IN 4.0 3.5 7.5 5.0 84.0 ** 62.3 1,250.0 ** 194 RUNS (NOT EXCEEDING 75 FT. EACH) I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth.by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WOR'(/KOUST DONE BY A LICENSED ELECTRICIAN. SIGNED /f DATE: APPLICANT: CLSLW ISSUED BY ----- DATE: _ SOILS LOG MUNICIPALITY OF ANCHORAGE PERCOLATION I • •.r i DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L Street, Anchorage, Alaska 99501 2641720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Car/1 ;r DATE PERFORMED: LEGAL DESCRIPTION: T. in l•«/ax p 3 B/—/•- N Le?,3A S.3+ rn-N 22-.i �1 SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 11lq S"r%4h J., k c �E■EMMOREME Date Gross EEEn■■EM■R Depth to Net ENINNIEE■MN Time CO:::!EME-11a■ Water Drop ■■uM■MEE2MM■ -/b zs 4 ■r::RNI. 110110 ,... ■■INNie NININE 22 4 ENNEENZWE ,71 ENNOMMMERE zsy ■■■■■MEMO■ 2. Vi _ ■■E■■■EE■■ 27y ■■■■E■■E■■ / 41 �4 � t.• 9'. WAS GROUND WATER S ENCOUNTERED? n 0 L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop -/b zs 4 — 1.01 ,... 22 4 /- f Y ,71 zsy _ 2. Vi _ a 27y 7o / 41 �4 3 ziy Z.oy _ 4 2wy — �..vy �• z S -y 9.IL a - S-4 Z' f 3 3 0 -if o l f 3 / t gam•/ c.•.-.. PERCOLATION RATE / �� .3 /a (minutes/inch)y •// TEST RUN BETWEEN 4 FT AND 4 /L FT •� v/ PERFORMED BY: LX r164 578 CERTIFIED BY: DATE: 72-008 (6/79) GREf''ER ANCHORAGE AREA BOPIr-A!GH �I IY/ Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME �'� f l l) CrZ MAILING ADDRESS`' > /P CJN11 h) LOCATION LEGAL DESCRIPTION L— C "� 0( C L12f ))II 1w, - ICI V SEPTIC TANK: Z Z J ' DISTANCE< �/// ./ NUMBER OF FROM WELL `C � f MANUFACTURER ��[� /� %fr-(' l MATERIAL ''/Y `I� COMPARTMENTS— INSIDE OMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY S ��' GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH±. DEPTH `- LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH —7—DISTANCE FROM: WELL ti�(`• 7 TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE CONSTRUCTION— ') CONSTRUCTION-�[�"/I /l��/'l DEPTH � DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC /,I _ SEEPAGE i FOUNDATION—,LOT LINE SEWER LINE TANK �`[' SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES:'']). — 14' Z' DIAGRAM OF SYSTEM t" C C INSTALLED BY: I� PIPE MATERIAL: ♦ t> LOT SLOPE: 1'[; REMARKS::: , ,'l1, I,'� /'S )v. •,! < i„,,; i.��. DATE 60 _72f- APPROVED,_= Form No. E"31 C `t r` 1 - GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99303 TELEPHONE 274.4361 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT MAILING ADDRESS PHONE INSTALLATION LOCATION 'I LEGAL DESCRIPTION) INSTALLATION OF: 'SEPTIC TANK SEEPAGE PIT FIELD TYPE AND S1ZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS• DC/(/!✓YI NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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. SEPTIC TANK SIZE/ ✓ "^ �///F TYPE =SEEPAGE AREA SIZE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PITD(J��` DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL /V ' SEPTIC TANK 1� , SEEPAGE PIT �, DRAIN FIELD its_ TO NEAREST LOT LINE. J WELL TO SEPTIC TANK 1210 ' -SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. I / WATER MAIN TO SEPTIC TANK - loy .SEEPAGE PIT -/0 DRAIN FIELD SEPTIC TANK.SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION B FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.S. OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. 1 n DATE - / �� _ APPLICANT'S SIGNATURE FORM NO. EO -414 TYPE DIAGRAM OF SYSTEM BOROUGH ORDINANCE NO. 26.68 AND THAT THE ABOVE ■ ��VON ■■ �ME NEINO 0 ■ ` ■ �SEE �MENEM ■■■■■. �NONE EMaEEM m ONE No ■■� ■■ BOROUGH ORDINANCE NO. 26.68 AND THAT THE ABOVE rr, 10 ' GREATER AIICI1014ACL ARLA L'OROU(_ Department of Lnvironmental Quality 3330 "C" Street Anchorage, Alaska 99503 SOILS 1.0(7 - PEMOLA'CION'11"S'1' Performed forn�y- Legal Description: / i ��3 k —Ti This form reports: Soils log >< Depth Feet 2 -- ---- - 3- 4- 5 _ Ja/x�� 6 _ ✓ J4rtc-�c..O $Os<r� 9- 10 - 11 - 12 - 13 - 14 - Date Perfon,rrd /O �9��f� rco�iori test — Was ground water encountered? �— _ If yes, at what depth? Reading Date Gross Time Not Time Depth to Water Net Drop -E Was ground water encountered? �— _ If yes, at what depth? Reading Date Gross Time Not Time Depth to Water Net Drop Percolation rate _minute. -proposed installatioTn: Seepage Pit_ Drain Field Depth of InletUeptli toU_tC6m of pit or trenci Perform d Gy:--- c2 rI: l��1.-u . Certified by:--- EQ-040 y:_EQ-040 (6/74) 'Cbrtif i6d,V611 D A 1; 1. 'For ....... . .......... .... I Location. Date co'mplcted4.9y-, 19.77 ...... L2 We 167..� ........ ........ I Depth of 11 . .......... . 1 2! Size of casing' .... . ....... 611 117 .. . ............. ........ Distance to water.. % Distance to Nater ,while purnping-l' .. ............... . .. . .......... Of. ......... .2 0 per hour-� iset.Q- off;, m Pmription 9 rT.Py till T an:--vPrRvs 1: t i 1 -.8 2 Craypo I '','152 'arra.tv 11 -15 7P,trr, cv e rr d -` 16 2,- 2 rr -N� 162 ay. :�i�-Vpj �v -tll-T�-fa�rrN + fccrtify the hbove-trCw and -cot : vvel I W/16 IV;- 4f, fvv 'S tv. S Sr 12 tj A 3 C,� 1i; 'Drill P) Ir7- Ivt7= — L; 17:� DOT.TEN,:;',IDRILLING .. ..... . .. ..... . ('f1,6.. :: .... ........ C