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HomeMy WebLinkAboutT13N R3W SEC 26 LT 23 LESS W2W2MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: ____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. '" Municipality of Anchorage Page 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: ~,~/0OO ~Z.~Z) PID Number: Oo '/- O ~ N.~.~ ~ ~~ Wastewater System: D New ~pgrade "~'": ABSORPTION FIELD Total Dept~ Irom original LEGAL DESCRIPTION ~""'""~: I.~~ ~.o~q., WELL: ~ New ~ Upgrade ~,,,~ width: ~ Ft II .,.,o:~.~ I.~-~ s.,.,: ~,. I~''''"''~"' ~"" ~'~"~:F,. TANK SEPARATION DISTANCES ~,pti~ m Holding O S.T.E.P. we,- tO ~ t t~ Sudace w.,., ~ ~o ~ ~ ~ ~ ~ LIFT STATION Foundation V~ Cu"""Or~,. ~/~ ,Io --...-.-I Remarks: BENCH MARK ~.NG~N E[R~,~EAL ~,~.~ ...... Department of Health and Human Se~ices approval - ~" "" ,ev,ew.~n~.~rove~,v' ~~/. ~~e:x.~o-o~ . .,,,~,~. - ~.//-/ -- , , . LINED DUCK S~'INO TIES: AC 45.7 IrT Be 55.2 AD 5.9,0 BO 57.7 A£ 55.5 BE 54.5 STANDARD TRENCH TOTAL LENGNr 45 tT TOTAL DEPTH I0 IT EFFECT, ROCK 7 £T O TANK P£Nfl N 49th ~PURKI. AN£ No. C~'-~8~5 ~5 50 75 SCALE: 1' = 50 Fl', 15'0 © ITOBBEN SPUNK/AND ~£ 203 w 15TH. AVENUE ANCH. A~ 995o~ (907) 279-3916 PERM/[ # SW000£60 £OT ~$, SEC 26, T13N R31F WALTER PARKER $724 CAMPBELL AIRSTRIP ROAD PID # 007-094-06 SEPDC SYSrEW AS BUILT DARE: AUG. 29, 2000 SHEE~ 2/$ GRID: 1758 13326232.B~O Stondorcl french: o go 45' Long 10' Deep ZO' Se~rer rock 3' Cover' o go 7.(? £t o£ Sept;c Rock Effect~ye NO SCALE Monitor /~ Cleonouts FOUNDATION CO  F 4' Cover . n n / ~ ~ 8~'421500 gal. sept;c tank ND XCgLE BENCH MARK: TOP fOUND4TION ASSICNED ELEVATION: 100.00 Ff 203 W/5th Ave Anchorage Ak 99501 PERMIT # SW0000260 LOT 23, SEC. 26, T13N R31r WALTER PARKER 3724 CAWPBELL AIRSTRIP ROAD PARCEL ID l? 007-094-06 SEPTIC SYSTEM SCHEMATIC J DATE, AUG. 29,2000 I$$26235.DWG MUNICIPALITY OF ANCHORA GE 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 28, 2000 Expiration Date: Jul 28, 2001 Permit Number: SW000260 Legal Description: T13N R3W SEC 26 LT 23 LESS W2W2 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: Walter Parker Owner Address: 3724 Campbell Airstrip Road Anchorage, AK 00000- Parcel ID: 007-094-06 Site Address: 003724 CAMPBELL AIRSTRIP RD Lot Size: 92400 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 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 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: ~'X~ - ~/..,/~,~ issued By: ~~ (~. ,f~')C~'~-'-~ / Date: T. ?Lr LLP:2qD ]P.E. :203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 9950 I (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM UPGRADE DESIGN LOT 23, SECTION 26 TI3N R3W WALTER PARKER Municipality of Anchorage Department of Health and Social Services 825 L Street Anchorage, Alaska 99501 July 6, 2000 We are submitting an application for the upgrade of the septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: No Ground Water or Impervious Layer to 16 fl. Use Standard Soll Rating. From Testhole June 29, 2000 <1 rain/in = 1.2 gal per sq.lVday No. of Bedrooms 5 Required Area per Bedroom: 1501 1.2 -- 125 sq.ft. Total area required: 125 x 5 ~ 625 sqft Testhole depth 16 feet Bottom Rock At 10 feet Top Rock At 3 feet Rock Depth 7 feet Total Trench Length 625 / 14 = 45 ft. SYSTEM CONFIGURATION STANDARD TRENCtl TOTAL LENGTtl 45 FT TOTAL WIDTtl 2 let TOTAL DEPTH l0 leT ROCK DEPTtl 7 FT COVER 3 FT SEPTIC TANK 1500 GAL The installation of this septic system will not prevent development ofadjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface mnoffwill not result from this installation. I LINED DUC^I _POND p STANDARD TRENCH o ~ TOTAl LEHGHT 4§ Ft' ~ ,:~'orAz £EPTH ~0 t7 ,~' '=EFFECT. E~ 7 ET ~A~AN, OLD T~ENCN ~ /F OEEPE~ THAN I0 ~. TAN~ GAL TANK ADD. 50 75 I~ SCALE, 1' = 50 FT. 49th SPURKLAND NO. ¢£-~225 0 JTOBe£N SPUR~LAND ~£. 203 W ~STH. AVENUE ANCH. A~ 9950~ PERM;[ # SWOOXXX LOT 23, SEC 26, T13N R31Y WALTER PARKER 3724 CAMPBELL A/RSTRIP ROAD SEP[IC SYSTEM DESICN DA TE: JUl Y 6. 2000 SHEET: 2/3 CRID: 1738 PID ff YY 13526232.D~G N $0 0 100150 ~00 1~ = 100 FL E, 38 ~50 ~0 Im~N SPUR~ND P.~. 205 W LSTH. AVENUE ARCH. AK. 99501 PERMIT # SWOOXXX LOT ~$, SEC 2,6, T13A~ R$1t' WALTER PARKER $?24 CAkiPBELL AIRSTRIP ROAD PID # YY I J SEPTIC SYSTEk¢ DESIGN DA TE: JUl Y 6, 2000 SHEET: I/5 GRID: 1758 133£6~'31.DW~ Sf:andard Trench: £' 14;de 45' Long lO' Deep ZO' Se~er rock 3' Cover o~ o or 1500 gal Sepi:;c 'tank ND SCALE Silt £arrier 7.0 £~ o£ Sep~;~c Rock Effective / M°nl~g°r ~-- Cleonout$ JJ 15oo gal. 5ept;c tank NE ECALE IDBBEN SPURKLAND P.E. ~0~ ~,415th Ave II Anchorage Ak 99501 I PER~IIT # SWOOOXXX LOT 23,SEC. 26, TI3N R3F WALTER PARKER 3724 CA~4PB[LL AIRSI'RIP ROAD PARCEL ID // YY SEPTIC SYSTEM SCHEMATIC DATE: JULY 6, 2000 SHEET, .,,,z/..,z GRID: 1738 IJ326255. DP/G PERFORMED FOR: LEGAl. DESCRIPTION: 1 4 6- ?. 8 6 10 11 13 14 15 16. 17- 18- 19- 2O Munl'~l~allty o! Anchorage DEPARTMENT O; ..tEALTH & HUMAN SERVICES 825 "L" Street, Am:borage. Alaska 99502-0650 SOILS LOG - PERCOLATION TEST . DATE PERFORMED:, Township. Range. Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ,o IF YES, AT WHAT DEPTH? PERCOLATION RATE I~ , {m,nutes/mchJ PERC HOLE DIAMETER ~:~ ! ! rust RuN SETWEEN ~ FT a.O "7 ~t DISCLAIMKP~ Arn.ndwat. Pr cnndtt{nns indicated are fnr thR dates shown only. Past and future presence &nd/or depth of gro{ndwater can not be predicted trom cnese PERFORMEDBY: , ___ I '~"~ __ CERTIFYTHATT~ISTESTWASPERFORMEDIN · ACCORDANCE WITH ALL STATE AND MUNICIPAL G[~IC ELINES IN EFFECT ON THIS DA1 F. DATE: 72-008 (Rev. 4/851  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 M^,,_,NGAODRESS CS LEGAl- DESCRIPTION -- ~ ' ' Well , ~ p ' ea PERMIT NO, ~Z Manufacturer ~ ~ Materia~/~ No. ofcomp~ents ~ ~ Liq. ~a~a~in gallons IF HOMEMADE: 'Inside length Width Liquid deptb ~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ Manufacturer Material Liquid capacity in gallons ~ Well ~ DISTANCE TO: /aO r ~ F°undati°n/OO ~ Nearestl°t~n~ ~ PERMIT N~O~O ~ --~ No. oflines / Trenchwi~ b~ches Total effect~on area Lengt~l~line Total [en~ o~ ?s Distance ~ne¢' - ~ ~ Top of tile to finish grade ~ / Material beneath tile ~' inches Width~ Depth PERMITNO. Length ~ ~ 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 line PERMIT NO, Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER / APPROVEE ~ DATE LEGAL 72-013 (Rev, 3/78) PERMIT NO. RPPLICRNT LOCRTION LEGRL WRLTER B. PRRKER C:RMPBELL RIRSTRIP RD L 2]: SEC 26 T±~N R2:W 2724 CRMPBELL RIRSTRIP RD LOT SIZE 140000 SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXIMLIM NUMBER OF BEDROOMS SOIL RRTtNG (SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: THE LENGTH DIMENSION IS THE LENGTH ,::IN FEET.'." OF THE TRENCH OR DRRINFIELD. THE DEPTFI OF R TRENCH OR PIT IS THE DISTFINCE BETWEEN THE SURFRCE OF THE GROLIND FIN[:, THE BOTTOM OF THE EXCB',,,'RTION (IN FEET). THERE IS NO SET WIDTFI FOR TRENCHES. THE GRRVEL DEPTH IS TFtE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFFILL PIPE RND THE BOTTOM OF ]'HE E,",~CFI'¢RTION (IN FEET). PERMIT RPPLIC:RNT HRS THE RESPONSIBILITY 'FO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RN'T' WELLS RDJRC:ENT TO THIS PROPERT"r' RN[:' THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. BRCKFILLING OF' RN? SYSTEM WITHOUT FINRL INSPECTION RND RPPROV8L B"r' THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTFINCE BETWEEN FI WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS :t00 FEET FOR R PRIVRTE WELL OR 2L50 TO 200 FEET FROM R PUBLIC WELL. DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTFfNCE FROM R PRI'¢RTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS M,~Y RPPLY. SPECIFICFITIONS RND CONSTRIJCTION DIRGRRMS RRE R',,,'RILFIBLE TO INSURE PROPER INSTRLLR'TION. I ±: FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT RESIDENCE IS REMODELED TO INC:LUDE MORE THRN 2: BEDROOMS. RPPLICRNT NRLTER B. PRRKER CERTIFY THRT I RM FRMILIFIR I,.tITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET IF THE ~ . V4. 0 /'-'%, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ~[' SOILS LOG [] PERCOLATION TEST · EG^'DESC.,PT,ON: LoT P-'~ $¢C..- £(~,'T/~/V~ SLOPE 2 3- ~'IN~ SAND/siLTy 10 SITE PLAN 11 12 13 14 15 16 17 18 19- 20- WAS GROUND WATER ~[ S ENCOUNTERED? I~ ~;~ L O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE COMMENTS 72-008 (6/79) (minutes/inch) TEST RUN BETWEEN FT AND FT / DATE RECEIVED " INSPECTION APPOINTMENTS DATE DATE DATE NSPECTOR INSPECTOR NSPECTOR ~d~ DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL ?F,O~ECTION  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 LStreet-Anchorage, AlaskaSSS01 /4~)R I 0 1981 ENW RONMENTAL SANITATION 91WS~ON Te,epho.e 26.-.720 R E C E 1 V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS; Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. ]1. PROPERTYOWNER . · PHONE PR©PERTY RESIDENT Ill diffarent from abo~al PHDNE PHONE 2. BUYER ~, MAIL]NO ADDRESS 3. LENDING IN~T~ UTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCAT'~ ~ ?~X, )~txrr~e 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ ~ One ~ Four SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six 7. WATER SUPPLY ~ INDIVIDUAL~ [] COMMUNITY [] PUBLIC UTI LITY [] Other * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, gi~/~ well depth (attach Icg if available.) ! 8. SEWAGE DISPOSAL SYSTEM ~ iNDiViDUAL/ON_SiTE~. [] PUBLIC UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY · 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 [] I N D IVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank Es homemade SO~LS RATING give dimensions: 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 /APPROVE FOR BEDROOMS [~-'~CONDITIONAL APPROVAL {letter must accompany certificate} 72-010 {Rev. 6/79)