HomeMy WebLinkAboutT13N R1W SEC 9 & 10 SEC 9 E2SE4 PTN,E2SE4NE4 PTN SEC 10 W2SW4 PTN, W2W2NW4 PTNT13N R1W
SEC 9
E2 SE 4 PTN
E2 SE4 NE4
078-041-02
•\ ,T
. t--1 Municipality of Anchorage
\` 1 j Development Servicesy DDepartment ;
Building Safety Division
On-Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page
www.cl.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SW050264 PID Number. 078-041.02
1 of 4
Name
C Ken Moon
Wastewater System:
■
New
•
0 Upgrade
Ado-or
P.O. Box 92412, Anch, AK 99502
ABSORPTION FIELD
Phone . Number of Bedroom.:
696.1715 2
a Dep Minch ® shame T,.ndn Dew a Mand a Omer
LEGAL DESCRIPTION
Sol Rang:
0.8 Gpopt'
Total Depth from original
2 Ft.
Mak La: Subdivision:
E2SE4 PIN, E2SE4NE4 PIN S10W2SW4P W2W2NW4
ppm lo pip. Dolton from original qty.
1.5 Ft.
Grovel depth breath pips.
0.5 Fi
Toen.hp. Reig.'. Saban
13N 1W 9&10
FA addw stove origami grade:
2 Ft.
Gravel Length:
76 Ft.
Well:
Gravel Malt
Num.ralner
Daneb.anlin.F
MI
New Upgrade
5 Ft.
1
0 P1
Clas.dralan (Prune. A. 6. C)
Exist'g Private
Tar Depen:
Ft.
Casty to
F1
Total .Dwpoon W.c •
380 . Fe
Ppb MM.n$:
3034 PVC
Driller
Date Dral.d.
Slam Water Level:
Ft.
Installer
Flintstone/JR's
Date Installed
8/31/2005
Ted.
GPMFl.
Pump Set at
Casing Height Above Grand.
Ft
TANK
SEPARATION DISTANCES
® Septic 0 Holding 0 S.T.E.P. 0 Other.
To
From
Septic
Tank
Absorption
Field
LIR
Station'
Holding
Tank
Olio/Private
Sewer Line
M•n'••na'r
Exist'gSteel
C.alr
p
cel
Well
118.6
161.5
70
MManM-
Ne1"•raO°^p'"-'li'
Suleo. WHO!
200+
225.8
LIFT STATION
tatty
200+
200+
sue
Gr
Manlwu«
Foundation
1 O6
'Pump on' level a
In
'Pump ole level M
n
water: High water alarm
n.
Pup Make II Mosi
Elfnc.l n•p•bic
Girton Dram
50+
50+
s pwonw by
e neks.
2" Rigid Insulation over tank & field. All out of service wells were
BENCH MARK
abandoned per code. Existing tank was exposed and structural
Location bud Dnapoon:
Front Porch
Integrity verified. Foundation clean-out located in crawl space.
Mina Eleven.
—1089 FL
15s0
Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1M 8/31/2005
Engineer's Stamp
2nd 8/31/2005
��..•a��
.�� ��.0�•• e 44.
Development Services Department Approval
Conditional Approval Date:
. (;.••••• ♦
•
4QT"• `• ♦�i
•r
7•
Reviewed and approved by:
ark/4..._ Date: 3/15707
;Steven R. P,, more :
•� �•., No r; E 8149 • dir
♦♦
....,_
6 ..............•,y
PERMIT NO: SW050264
RECORD DRAWING
WASTEWATER DISPOSAL SYSTEM
E2SE4E2SE4NE4 59, T13N, R1W
P.I.D. NO: 078-041-02
3
4
EXIST'G WELL
5
EXISTG WELL
1
NOTES:
1) All work shall be performed in
accordance with AMC15.65.
2) Materials used shall be In
accordance with those specified In
AMC15.65, Wastewater Disposal.
3) Maintain 10' separation to all lot
lines and water lines, unless noted
otherwise.
4) Lots served by private well. No
wells within 100' of proposed system.
5) See 60 scale drawing for details.
6) The lot, other than the area shown
Is undeveloped. There are no other
wells or septic systems within 200
feet of the system shown.
i
••'sS't' sss„
PF
i 49 11
i i
Alas ee
•
.h
Steven R. Pan •ne
CE 8149
��♦ • 11/7/06 019:
,r
EXISTG 2 BR
HOUSE
1
EXISTG DRAIN FIELD
214.1
2A
NEW DRAIN FIELD
DESIGN CALCULATIONS:
PERCOLATION RATE: 6 MPI
APPLICATION RATE: 0.8 GPDSF
(188 SF/BR)
BEDROOMS: 2
AREA REQUIRED: 376 SF
WIDE TRENCH: 0.5' EFF DEPTH
0.0 REDUCTION FACTOR
76 LFx 5' WIDE, ?TOTAL DEPTH
TOTAL AREA: 380 SF
1000g SETIC TANK (IF REQ'D)
PREPARED FOR:
C. Ken Moon
P.O. Box 92412
Anchorage, AK 99509
696-1715
PANNONE ENG. SVC, LLC
P. O. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P, 272-8218 Fax
DATE: 11/7/06
SCALE: 1•=200'
PLAN
PERMIT NO: SW050264
RECORD DRAWING
WASTEWATER DISPOSAL SYSTEM
E2SE4E2SE4NE4 S9, T13N, R1W
P.I.D. NO: 078-041-02
xISrG LL
DOMESTIC E
CO A B
T1 67.1 82.5
T2 72.8 87.8
DC 75.8 90.5
DV 79.5 94.1
FS 170.2 189.1
C1 106.2 123.0
M1 107.2 124.1
C2 180.7 199.3
M2 179.4 198.2
El 131.7 144.3
E2 133.0 143.6
NOTES:
1) All work was performed in
accordance with AMC15.65.
2) Materials used was In accordance
with those specified In AMC15.65,
Wastewater Disposal.
3) Maintained 10' separation to all lot
lines and water lines, unless noted
otherwise.
4) Lots served by private welt. No
wells within 100' of proposed system.
5) See 200 scale drawing for
calculations.
6) The lot, other than the area shown
is undeveloped. There are no other
wells or septic systems within 200
feet of the system shown.
7) House wells, septics and testholes
surveyed In using a Topcon GTS10.
Locations ere lied to the house and
not tied to lot corners.
e OF
ar CO/
i r 49i
/ \
/
i
•
/ \•
•
•
•
•
SURFACE WATER
r
Steven . Pannone / :.
CE 8149 :
3113/07 lip dr
EXISTO WEU.
ABANDONED
ER CODE
•
EXISrG
GRAINFIELD
EXISrG WELL
AGRICULTURE
Si FIRE USE
•
EXISTO 10000
SEPTIC TAM(
M1
NEW
DRAINFIELD
Revised 070313 per MoA Comments
REPARED FOR:
C. Ken Moon
P.O. Box 92412
Anchorage, AK 99509
696-1715
PANNONE ENG. SVC, LLC
P. O. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P, 272-8218 Fax
DATE: 10-10-06
SCALE: 1'=60'
PLAN
1
PERMIT NO:
RECORD DRAWING DETAILS
WASTEWATER DISPOSAL SYSTEM
E2SE4E2SE4NE4 S9, T13N, R1W
P.I.D. NO: 078-041-02
Revised 070313 per MoA Comments
• Stev▪ en R.annone •
• ' ;Ziff
•
•Ss 3113/07 ....:C7'41
�Ess;att..
•i
Z
0
f--'
0
,w,^^
V/
NOttV3TJ
043 NOV31V
3811 No1INO11
ON3 NOV31V
38111 tlo11NON
11101W313
1
N0 NVTVJ 1
NO INTO
NO NV313
NouvoNno
1
N
N
N
N
h
to
1,1
r'C
n
N
N
tri
NCH 76 LONG, 0.5 E.D., 2' T.
w
w
11)
—.PREPARED FOR:
C. Ken Moon
P.O. Box 92412
Anchorage, AK 99509
696-1715
PANNONE ENG. SVC, LLC
P. O. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P, 272-8218 Fax
DATE: 1/27/06
SCALE: NTS
DETAILS
Pannone Engineering Services, LLC
Consulting Engineers
(907) 272-8218
March 13,2007
Ms. Debbie Wockenfuss
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: E2SE4, E2SE4NE4 S9, T13N, R1 W
Septic System Record Drawing Comments
Ms. Wockenfuss:
• P.O. Box 102954
Anchorage, Alaska, 99510
(907) 272-8211 Fax
I am writing in response to your "Pink Sheet" dated March 8, 2007 concerning the Record Drawings
submitted to your department on November 10, 2006 by PES, LLC. I will respond in the same order in
which the comments were presented.
IComment: The legal description on the Inspection Report is incorrect.
Response: Legal description Corrected
Comment: The test hole location has moved on the as -built site plan compared to the design site plan.
Response: Septic system, wells and test holes were surveyed using a Topcon GTS 10 total station during the
installation of the septic system. Locations were tied to the house and not to lot corners.
✓ Comment: The scale is incorrect on the site plan.
Response: Indicated scale was corrected.
I Comment: What is FS on the site plan?
Response: FS on plan is an erroneous call -out. Removed.
VComment: The profile elevations should show the worst case water level.
Response: Revised Detail sheet to show worst case of water monitored.
/Comment: One of the inspection dates says '06. Is this correct?
Response: Correct dates are 2005. Inspection Report corrected.
/Comment: A foundation cleanout is required. Is there a foundation cleanout?
Response: Foundation clean-out located in crawlspace of house.
Page 2 of 2
✓Comment: Was the tank unburied and inspected? Please note this in the remarks section.
Response: tank was exposed and its structural integrity verified. Not added to Inspection report.
If you have any questions or concerns, please contact me at 227-3522 or 272-8218.
Sincerely,
• .Ty��
•u
•i
i
•; {ileven R Ponnone •
•1 „ Nn Cr. 2143 .-•
.
Steven R. Pannone, P.E.
Civil Engineer
Attachments: Revised Inspection Report, Site Plan, & Detail Sheet
C:\Work\Letters\E2SE4E2SE4NE4 S9 T12N R1W1.002.doc
Municipality 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.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: PES
Legal description: T13N R1W Sec 9 E25E4 PTN E2SE4NE4
The attached paperwork has been reviewed and is being returned for the following reasons:
1. The legal description on the Inspection Report is incorrect.
2. The test hole location has moved on the as -built site plan compared to the design site
plan.
3. The scale is Incorrect on the site plan.
4. What is FS on the site plan?
5. The profile elevations should show the worst case water level.
6. One of the inspection dates says '06. Is this correct?
7. A foundation cleanout is required. Is there a foundation cleanout?
8. Was the tank unburied and Inspected? Please note this in the remarks section.
Name of reviewer: Debbie Date: 3/8/07
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
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 WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Aug 05, 2005
Expiration Date: Aug 05, 2006
Permit Number: SW050264 Parcel ID: 078-041-02
Legal Description: T13N R1W SEC 9 & 10 SEC 9 E2SE4 PTN,E2SE4NE4 PTN SEC 10 W2S
Design Engineer: 0062 Pannone Engineering Services Site Address: 001451 SOUTH CREEK RD
Owner Name: KENNETH C. MOON Lot Size: 3702600 SQ. FT.
Owner Address: P.O. BOX 92412 Total Bedrooms: 2 Permit Bedrooms: 2
ANCHORAGE , AK 99509 -
This permit is for the construction of:
E✓ Disposal Field Q Septic Tank Holding Tank ❑ Privy iJ 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.
a.) All out -of -service wells on the property must be permanently decommissioned in accordance with Anchorage
Municipal Code 15.55.060.J. Out of Service means the well has not been functional for 90 or more consecutive days.
An example of non-functional wells includes wells without pumps, electrical power and/or appurtenances (including a
surface discharge point.)
Received
Date:050-95a 7
Issued By Jrs Q 1 .Ur` \-IS, a o a.--
Date: g%/
Municipality 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. 078-041-02
Property owner(s) C. Ken Moon
Permit Number SW
Day phone 696-1715
Mailing address (1) P.O. Box 92412 Ahx Hc2AE,t=T�� Aft_ `3 g5a9
g address (2)_1(-i5I 500,--\ ‘'N CYP e- lab Zip Code
Legal description (Lot, Block & Sub'd.) E2SE4, E2SE4NE4 S9, T13N, R1W
Legal description (Section, Township & Range) Site Location: 1451 South Creek Road
Lot Size 3,702,600 Acres/Sq.Ft. Number of Bedrooms 2
THIS APPLICATION IS FOR:
Sewer Only 0 Well Only
Sewer and Well ❑ Water Storage
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑
Swimming Pool 0
Therapy Pool 0
Jacuzzi
Water Softening Unit
0
0
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 Fees: 4&o •')
Date of Payment: 9/3 /D.S
Receipt Number: 411)(o
(Rev. 12/00) (
Waiver Fees:
Date of Payment:
Receipt Number:
Pannone Engineering Services, LLC
Consulting Engineers
(907) 272-8218
August 2, 2005
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: E2SE4, E2SE4NE4 S9, T13N, R1W
Septic System Upgrade Permit Request
Ladies and Gentlemen:
P.O. Box 102954
Anchorage, Alaska, 99510
(907) 272-8218 Fax
I am writing to request a permit to construct an upgraded septic system be issued for
this property. The proposed systems will serve an existing two-bedroom house. The
existing bed, installed in 1981, is in failure. A diverter valve will be installed between the
two fields. The existing 1000 -gallon septic tank will be inspected and reused if possible.
The lot is served by a private Water system.
1. Soils. See the attached soils log. Ground water was monitored for 7 days. Ground
water was measured in the monitor to a depth of 11 feet below ground surface. Bedrock
was not encountered in the test hole. It is my opinion that the overall soils appearance
of the soils, an application rate of 0.8 gallons/day/square feet should be used using
standard treatment system.
2. Trench Design.
a. Percolation Rate:
b. Application Rate:
c. Number of Bedrooms:
d. Design Flow:
e. Min. Absorption Area:
f. Total depth:
g. Effective Depth:
h. Width:
i. Reduction Factor:
j. Minimum Length:
k. Design Length:
1. Effective Absorption Area:
m. Septic Tank Size:
Cont'd on page 2
6 Min Per Inch
0.8 gpdpsf
2
300 gallons per day
375 sf
2.0 feet
0.5 feet
5 feet
0.0
75.5 feet
76 feet
380 sf
1000 gallon Septic.
C:\Work\Letters\E2SE4E2SE4NE4 S9 T12N R1WI.001.doc
Page 2
3. Surface Water: There is no surface water within 100 feet of the proposed system.
The proposed systems will maintain at least 100 feet from all surface water and drainage
ditches.
4. Topography: The average topography in the area of the proposed septic system is
approximately two to three percent in the area of the SAS.
The proposed installation will not affect the future development of the surrounding or
existing lots. There are no wells or septic systems within 100 feet of the proposed septic
location.
If you have any questions or concerns, please contact me at 227-3522 or 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Civil Engineer
Attachments:
C:\WORK\LETTERS\E2SE4E2SE4NE4 S9 T12N R1WL.001.DOC
•%%.%%%%%
.•• c q t.
•
PERMIT NO:
DESIGN DRAWING
WASTEWATER DISPOSAL SYSTEM
E2SE4E2SE4NE4 S9, T13N, R1 W
NOTES:
1) All work shall be performed in
accordance with AMC15.65.
2) Materials used shall be In
accordance with those specified In
AMC15.65, Wastewater Disposal.
3) Maintain 10' separation to all lot
lines and water lines, unless noted
otherwise.
4) Lots served by private well. No
wells within 100' of proposed system.
es
LL {i ;
u; 49 TM_
u* •,..»i
wI
•
•
•
Steven R Pannone / ry
1f/,,, „ �s-
PREPARED FOR:
C. Ken Moon
P.O. Box 92412
Anchorage, AK 99509
696-1715
AREA
UNDEVELOPED
P.I.D. NO: 078-041-02
•
THIS PROJECT
0
AREA
UNDEVELOPED
/
PANNONE ENG. SVC, LLC
P.O. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P, 272-8218 Fax
DATE: 8-1-05
SCALE: V=50'
LOCATION
PERMIT NO:
DESIGN DRAWING
WASTEWATER DISPOSAL SYSTEM
E2SE4E2SE4NE4 S9, T13N, R1W
P.I.D. NO: 078-041-02
d
/
•
•
•
•
•
7 EXISTG \
WELL
/ I �
/ I \
•
•
•
EXISTG \
WELL- \
ABANDONED \
\
172.7
1
AREA 1S UNDEVELOPED, EXCEPT
AS NOTED. NO WELLS OR SEPTICS EXISTG 1000g \
WITHIN 200 FEET OF PROPOSED SEPTIC TANK \
DEVELOPMENT.
EXISTG 19x40 BED
IN FAILURE, TO BE
REUSED
NOTES:
1) All work shall be performed In
accordance with AMC15.65.
2) Materials used shall be in
accordance with those specified In
AMC15.65, Wastewater Disposal.
3) Maintain 10' separation to a6 lot
lines and water tines, unless noted
otherwise.
4) Lots served by private well. No
wells within 100' of proposed system.
i
PERMIT NO:
DESIGN DRAWING DETAILS
WASTEWATER DISPOSAL SYSTEM
E2SE4E2SE4NE4 S9, T13N, R1W
P.I.D. NO: 078-041-02
z
a
u:
ge
z
11 dr CO,
N 4:' 49 TM
�Steven R. Pannonei
Ir CE8149 't
z
0
1-
0
''w^^
v/
1110 N1/3u
ON3
143V3 IV
3aL e01INON
E
a
043117W31W
33!11 NOIINOW
11109/1/317
Il10 firm
NOUVON11O3
1
Q
1-z
4t Y \ 4 w
.,.us a'ir ..r .v.-• �. of r.r 1, r
5-WIDE TRENCH 76 LONG, 0.5 E.D.,
01
111
w
J_
11_
0
D_
n
PREPARED FOR:
C. Ken Moon
P.O. Box 92412
Anchorage, AK 99509
696-1715
PANNONE ENG. SVC, LLC
P. O. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P, 272-8218 Fax
DATE: 8-1-05
SCALE: NTS
DETAILS
U
•
PERFORMED FOR:
LEGAL DESCRIPTION:
TEST HOLE 1
1
2
3
4
5
6
7
6
9
10
11
12
13
14
15
16
17
18
19
20
OR
SP
SM/
GM
BOH
SOILS LOG - PERCOLATION TEST
PANNONE ENGINEERING SERVICES
P.O. BOX 102954
ANCHORAGE, AK 99510
(907) 272.8218
Ken Moon DATE PERFORMED: 7-27-05
E2SE4,E2SE4NE4 S9,T13N,RIW
TOPSOIL
Poorly graded
SAND
Sandy SILT to
Gravely SILT
SLOPE
TEST
HOLE
i 49 TM
•
•
S
Steven R. Pannone
ielliFIL‘Ctlia 4.
WAS GROUND WATER
ENCOUNTERED? V
IF VES, AT WHAT
DEPTH?
DEPTH TO WATER AFTER
MONITORING? -11.5-
DATE: 8-3-05
SLOPE
TH 1
READING
DATE
OnM K
NET TIME
WATER
LEVEL
READING
NET DROP
1
7-28-05
1:32
r
0'
2
1:42
10 MIN
4'
7
3
1:42
r
r
4
1:52
10 MIN
4'
7
5
1:52
r
r
6
2:02
10 MIN
4'
7
PEROLATION RATE 5 (minAnch) PERC HOLE DIAMETER 6Inches
TEST RUN BETWEEN 3 FT AND 4 FT
COMMENTS: Test hole excavated by South Fork Const. Test Hole was presoaked before perc test.
PERFORMED BY: Scott Crowther, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL OUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
PERFORMED FOR:
SOILS LOG - PERCOLATION TEST
PANNONE ENGINEERING SERVICES
P.O. BOX 102954
ANCHORAGE, AK 99510
(907) 272-8218
Ken Moon
LEGAL DESCRIPTION: E2SE4,E2SE4NE4 S9, T13N,R1 W
TEST HOLE 2
OR
2
3 —
4
SP
5 —
6
7 —
8 —
9 —
10
11 —
12
SMI
GM
13 —
14 —
15
18 —
17 --
O.
a 15
n
C 19 —
r\
Er 20 —
C
x
N
v
LL
Z
v
LL
N
n
LL
v
LL
V
n
BOH
TOPSOIL
Posy graded
SAND
Sandy SILT to
Gravely SILT
SLOPE
TEST
OLE
DATE PERFORMED: 7-27-05
i••
i fid- 49TH
M
1 11
• \Steven R. Pannone
�j�lSj • CE 8149
1,
WAS GROUND WATER
ENCOUNTERED? Y
IF YES,AT WHAT
DEPTH? -11.0
DEPTH TO WATER AFTER
MONITORING? -11.0
DATE: 8-3-05
SLOPE
TH 2
READING
DATE
CLOCK
TIME
NET E
TM
WATER
LEVEL
READING
NET DROP
1
7-28-05
11:52
V
0
2
12:02
10 MIN
4-
T
3
12:02
5'
W
4
12:12
10 MIN
4'
7
5
12:12
r
0
0
1222
10 MIN
4'
W
PEROLATION RATE 6 (min/inch) PERC HOLE DIAMETER 6 Inches
TEST RUN BETWEEN 3 FT AND 4 FT
COMMENTS: Test hole excavated by South Fork Const. Test Hole was presoaked before pert test.
PERFORMED BY: Scott Crowther, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
.f riV
._, (1
I ��
C
JT--, MUNICIPALITY OF ANCHORAGEiiiTh
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 �^ /t C
c O J l.-1 t eazAL ( � 4 571
��
PHONE
$ EW
El UPGRADE
MAILING ADDRESS C
l S a, S E L -t 1 rq - c2l Nic-1— S12_ 3 I °1 to x L, IL,
LEGAL DESCRIPTION
T r/3 ti /z / t/
LOCATION
NO. OF BEDROOMS 3
SEPTIC
TANK
DISTANCE TO:
Well i !
/ /� `f
/
Absorpti r /
Dwelling I
�(� '�'
PERMIT NO
tCVVJ1 y,/1A�-3)7_
Manufacturer
/ i7 (�
Mate lal
No. of compartmAnts
Li�c�par,"Lt gallons
CCJj�b
IF HOMEMADE:
Inside lent
Width
Liquid depth
l] Y
2 z F
DISTANCE TO:
Well
Dwellin'
PERMIT NO.
Manufacturer
ft
Material
Liquid capacity in gallons
TILE
DRAINFIELD
TRENCH
DISTANCE TO:
Well
¥
Fp dation
Nearest lot line
PERMIT NO.
No. of lines
Length of each line
length of lines
Trench width
inches
Distance between lines
Top of tile to finish grade
aterial beneath tile
inches
Total effective absorption area
SEEPAGE
Length y/L, /`,
Width / cy % .d•
L
Del % W/ • G �' 2 �� (Yu.
PERMIT N _( 3i
`//Y7
Type of�T -
Crib diameter
Crib depth
Total effective absorption
�7 4.
0
DISTANCE TO:
Well s f 1-
Buildi g foungatjpn
Nearest lot line
41-0 ACA6
110/463M -A-0
J/
Class
Depth
Driller z
Distance to lot line
PERMIT NO.
DISTANCE
ildi g ou da on
S wer
Septic tank
Absorption area(s)
OTHER
®wtA"
PIPE MATERIALS
SOIL TEST RATING
sbMe
' O
INSTA ER /
FDi'rt:
C.,.........,
r �
REMARKSV
r/AV/r/
fl&i e
7 7.bie I Li" //.J/A/L 14-6--A
% CD s y,s,&t.i LL
w
���, .
N
/q'
Kt
• 4:,y i•—••• ' R
�°
(
i-8ED
at,n ,
?
A. _ t � filP i i.iit
v
it fp 0
CB s,.
4d�v•RGFf
O.
• �S
APPROVED
& � �°4t„nctf,Rit , DATE Lfp'
8116 196X Una, MASKA Mir .7"/-V'or--17 AcK:/
72-013 (Rev. 3/781-----
/ '/
t'1ur-a I r_. I L I T'° 0F= flrJ H0F=flUE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET.. ANCHORAGE. AK 99501
- 264-4720
ON-SITE SlaWCIR ',7 WELL. SEF r•1 I T
PERt9I T NO: 840312
DATE ISSUED: 05/08/84
APPLICANT:
ADDRESS:
CONTACT PHONE:
LEGAL DESCRIP: SUBDIVISION: NA -
SECTION: 9.10 TOWNSHIP:
LOT SIZE: 47000 (SQ. FT. OR ACRES)
MAX BEDROOMS:
LISTED BELOW ARE THE OPTIONS AVAILABLE TO
SYSTEM. CHOOSE THE OPTION THAT BEST FITS
C/0 S& S ENG' G.
SRB 196:
EAGLE RIVER, AK 99577
694-2979
SOUTH FORK CONSTR.
LOT: NA
13N RANGE: 1W
BLOCK: NA_
YOUIN DESIGNING YOUR SEPTIC
YOUR SITE.
DEPTH TO PIPE BOTTOM (FT. )
GRAVEL DEPTH (FT.
TOTAL DEPTH ( FT.)
GRAVEL WIDTH (FT.
GRAVEL LENGTH (FT.)
GRAVEL VOLUME (CU.YDS.)
TANK SIZE (GALS)
SOIL RATING. (SQ. FT. ;'BR))
**
**
TFC Er4CFA E:=EE} LA. CCF fl I N
4. 0 4. 0 3. 0 **
-. 0 O. 5 7.0
6.. 0 4. 5 6. 0
2. 5 19.0 5. 0
113. 0 ** 36. 0_ 53. 0
26. 1 25. 3,-. 34. 3
1, 000.0 ** 1. 000.0 ** 1, 000.0 **
150 150 150
DEPTH TO PIFE BOTTOM C 3.5 -Ft REQUIRES INSULATION
DEPTH TO PIPE BOTTOM C 4. 0 FT.- MAY REQUIRE A LIFT STATION
GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. .EACH)
TANK MUST HAVE AT LEAST TWO COMPARTMENTS
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.
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 I5 VALID FOR A MAXIMUM OF 3 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 APPRO' D •JITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WORE' BY LICENSED ELECTRICIAN.
SIGNED
APPLICANT �R�'' S& 5 ENG'G. SOUTH FORK CONSTR.
ISSUED BY
DATE:
DATE: /k/f y
PERFORMED FOR
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
DATE PERFORMED
LEGAL DESCRIPTION:4 /T r{" a A S7/ �'/ez#_ o, / Sj,
10
11
12
13
14
15
16
17
18
19
/SD /14
BO rr0m- OF //O''h_F
20
le 4
COMMENTS COMMENTS
PERFORMED BY:
72-008 (6/79)
WAS GROUND WATER
ENCOUNTERED?
IF YES, ATWHAT
DEPTH?
❑ SOILS LOG
o
❑ PERCOLATION
TEST
rz6-ey
773A) eftv
SITE PLAN
S
L
O
P
E
ea
Ar'
X
r
Reading
Date
Gross
Time
Ne
Time
Depth to
Water
Net
Drop
4 -
PERCOLATION RATE
TEST RUN BETWEEN
S & v tAGINEaHING
SRC 196x
14 AVER, 4012:7) -v) S'.`a�T
CERTIFIED B
FT AND
(minutes/inch)
FT
Certtf teb ruling tog
•
by
•
Doc Co: dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 _• TELEPHONE 688-2750
OWNER OF LAND. � ri /110 U i" BORE HOLE DATA
ADDRESS' 4o • Evs ti 514(2 I P JJ.aAnfi4- ¶%5D1
LEGAL DESCRIPTION:r13 N ,f s rG `T ',
)ase 4 P; rJ Fd?.re1,uEH Pr..i SICioc
DATE (yf51,2a )-
PERMIT NUMBER: 0 0,0° ? "7' Date of Issue? - F' -a d
TAX IDENTIFICATION NUMBER: 0 7M- oq f -
Is well located at approved"vepermit location? J Yes "J No
Method of Drilling: Ci. rotary J cable tool
Depth of well. 9 0
Casing Type Sr 0SL Wall Thickness r o1 inches
I
Diameter L" inches, depth qo feet
Liner Type: /U a "
Casing Stickup Above Ground. ' feet
Static Water Level' Gb
Recover Rate.
/0 gpm
Method of Testing. A/A-
Well Intake Opening Type:Yopen end Cl open hole
Screened; Start feet Stopped
u Perforations Start frn Stopped
Grout Type. ACr17°" rlrolume /ro cBS•
Depth: from D feet to d 0 r feet
Well Disinfected Upon Completion? No
Method of Disinfection. CNiora,�,lc. S!)/�,Or?
feet
feet
feet
Comments:
DEPTH
From To
0
a
S
3-
77
77
9a
rar..'t s,rckJP
o J1 k ad, gait
k4g�p��
s01-Ja 6,r4 -!c c.
of/ ys4
Cdnir
Driller's Name 43,44-1
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
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
Upgrade
Date Issued: May 08, 2002
Expiration Date: May 08, 2003
Permit Number: SW020097 Parcel ID: 078-041-02
Legal Description: T13N R1 W SEC 9 & 10 SEC 9 E2SE4 PTN,E2SE4NE4 PTN SEC 10 W2S
Design Engineer: 0000 None Required
Owner Name: KENNETH C. MOON
Owner Address: P.O. BOX 92412
ANCHORAGE . AK 99509 -
Site Address: 001451 SOUTH CREEK RD
Lot Size: 3702600 SO. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
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: ` —t Date: r j 13 / 0 y
Issued By:
adat'(,, fi-c-6?
Date: 5/8/02
Parcel I.D.
Municipality 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
9780µ/p
Permit Number SWO2O097
Property owner(s) ( f1JAl CTi( N ` ofl pJ Day phone eV —(70—
Mailing address (1)
(7/-
Mailingaddress(1)•O • ",DX c1 412: 51 TT /437 coumCRT Ht RO))D
Mailing address (2) gti(l{n (Ztic1 ) ACk4A Zip Code ciGSay
Legal description (Lot, Block & Sub'd.) 'it3N R%LSI SSC 74(0 )Ste cc rz5r45cc �tN
Legal description (Section, Township & Range) w w L N w t prpi
Lot Size "Ir/kcaF< Acres/Sq.Ft. Number of Bedrooms 2-
3,702,600
-
3,702,Gro
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only
Sewer and Well Q Water Storage 0
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Jacuzzi
Water Softening Unit
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and isTn accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment
Receipt Number.
(Rev. 12/00)
Waiver Fees:
re („ - O 2 Date of Payment
6 7 Receipt Number.
i
OWNER OF LAND
ADDRESS
i
(nrrztftrb Drilling Cni
OOC Co. tlba
SULLIVAN WATER WELLS
P.O BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 6882759
1.l3 AJ !:1419 JTtc e. - ?,o q, 10
ger iv a 4. L,j tuy &
DEPTH OF WELL
STATICc LEVEL OF WATER PT
LEGAL DESCRIPTION/aCr, 0,-"S Mete r$= DRAW DOWN FT.
a
DATE - Started (. i, e
Ended
GALS. PER HR / !>I
PERMIT NUMBER - _ KIND OF CASING
KIND OF FORMATION:
From 0 Ft. to `;'-• Ft (7.6n erig 47/ ./G 0 P FromFt to Ft
From ,: 1 Ft. to 7 F ..14t 4) (le/tai-7,.. -From - Ft to Ft.
From Ft to Ft L)1otar.ii.`n'TFrom Ft. to Ft
From `f Ft to �.`.�c Ft. %7 rip?, Eo;i .J OOU&+&C'trom Ft. to Ft.
MUNICIPALITY OF ANCHORAGE
From dlt Ft. to d Ft Sig 1 '6,l ok)!-0 From Ft to DFPT KWHEALTH &
ENVIRONMENTAL PROTECTION
From J`7` / Ft. to B;] Ft IRZ) /%4 From Ft. to Ft.
From .�%`.iFt. to 6•1 Ft. =�'�j,��Rl. S �'o c�a n//� � From Ft. to
From Ft. to Ft. /i.la, 1 From Ft. toJO 2 s 1986
_C E 1 V E D
From -"`� Ft. to "7 6Ft, 4» /d i' From Ft. to R RR GG fFt. G Y
From `l'> Ft to kir Ft. ='C, f C'.+r,i=.r,ie, C From Ft to Ft.
From Ft. to Ft. A's ticJai:Yea - FromFt to Ft
From ' ` ` Ft. to )cs 6 Ft. 3/'/)x'u.._. /E,:.- From Ft to Ft
From "'r n Ft. to E)76, Ft. 13 A'AV%:*_z' Pi/9-01(13""I From Ft to Ft
From Ft. to Ft t c).),.'ir, + 4q;,,r4I`E"_1: From Ft to Ft
From Ft. to Ft. jar --f e"e vt From Ft. to Ft.
From ,' (, Ft. to ‘,1'?) Ft. /3a:,o#0Cti Ic., - From Ft. to Ft.
From Ft to Ft. - From Ft to Ft
MISCL. INFORMATION:
0
1/
TI 44 e)
4 9u)(0)
DRILLER'S NAME
PERMIT NO:
DATE: ISSUED:
APPLICANT;
ADDRESS:
CONTACT'- PHONE:
LEGAL.. DESCR I P:
LOT SIZE:
aDLIT..d:>L 1:r U=)aIL__ _lENP - Nuc::=CC FR:P01:13E--_
r E:PARTN,EN. OF HEALTH AND ENV1RONMENTe,.- PROTECTION
825 L STREEEET., ANCHORAGE., AK 99501
264-4720
1E3P411
.8
060170
06/12/06
KENNETH MOON
P.O. BOX 67027'
CHUGif-1K:, AK: 99567
688--2759
Complete Legal Description:
T13N R1W Sections 9, 10, 15
NE4 NW4 Section 9; SES Section 10;
NW' Section 15 Portions there of
SUBDIVISION: NA LOOT: NA
SECTION: 15 TOWNSHIP: 13N RANGE;; 1W
80( (S0,j.-•r OR ACRES)
NA
t..:i. f y that:
1 am familiar with t.hhe requirements for on -sits sewers and wells as sEa
forth by the Municipality of Anchorage (MOA) and the State of Alaska.
?: will install. the system in accordance with all MOA codes and regulations
and in compliance with the design criteria of this pearma.t..:
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.
SIGNED 7
APPLICANT: KENNET:T}i I'1OON
ISSUED By
izeitncor
DATE:
DATE:
641,06
// t 974.
n, i4 JkJex" 4 S6c y Sa+ sFf
Y�c4 fl ate. j 'TN K t