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Home My WebLink AboutVALHALLA BLK 3 LT 12Valhalla Block 3 Lo1' 12 #015-212-12 o Municipality of Anchorage -':~ Development Services Department Bu~ing Safety Division L~ On-Site Water and Wastewater Program. 4700 $. Btagaw SL P.O. Box 196650 Anchorage. AK 99519-6650 Page www. ct.anchorage.alcu$ (907) ~43-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PermitNumber:..~u.,,ot ot o~ PIDNumber: orS'- ~t ~, -t~. "'~ ,7"~t,r~g.c ~'ct. ( ~ Wastewater System: [] New I'~ Upgrade t ~'$ ~-~' t.~,/Je.-ne, u R.,~, ,n.,.t, 9'~' ABSORPTION FIELD LEGAL DESCRIPTION Well: ~'Xt$'/" DNew ["]Upgrade ~'~"~ ~.5" n. I! -- n n. SEPARATION DISTANCES Ig septic I"1 Holding n S.T.E.P. n Other. To ,SeptiCTankAbsorptJor~Field StationLin HoMingTankPubr~,~PdvateSe~Y~r ~ ~'P~"" ~ ~'~:~'~ ~ ~/'~ ~0~0 C,~. w~ I tS' io~ -- -- 5-~: $,~w,,. ~, too' '>/oo' - - "'~' BENCH MARK glo~ Engineer's Stamp Inspectionsperformedby: /='[c~/.-/o.~ Tee4 ,,.c~,¢ Dates: 1" 5'/~ /Zc.,Ot ~,,,,: ~.~._~, ~ '.-~ Development Services Depa rtm ent Approval Reviewe~ and approved by: ~'~-,~/~/. /~,"'-~ Date: ?° I ~"ql PERMIT NO: SW010102 PID NO: 015-212-12 PAGE 2 OF 2 SWlNG TIES: FROM: COR. "A" COR. **B" TO: S.T.C.O. "C'* 65' 68' S.T.C.O. "D" 71' 72' DBL. C.O. "E" 73' 73' TR. C.O. "F" 50' 81.5' TR. M.T. "G" 59' 56.5 TR. C.O. "H" 79' 73' 94.1' ~ BOI. T.H. ~ I;; ~ ELEV. 88.1' M.T. DRY 5/9~001 21' T.H. ' NEVV 1000 GAL SEPTIC TANK ',, NEW 62' LONG , SOIL ABS. TRENCH 2 W. 9.0' EFF. GRAVEL ', TaM ', "F" LOT 12 DRIVE pAvED PARKING PLAN VIEW SCALE: 1" = 30' ~ ~ FINAL GRADE · .L3's°"'lll 112'RIG~DINS.--,_ II I COVERI[L ............................... & ~ ~ ~_~' 2,~["c" ~o, ~, a[oc~ a, wm~[~ st~ I W, 9 0' G~VEL SEPTIC SYSTEM UPG~DE I E E LC W DIST PIPE AS~UILT INSPECTION REPORT CROSS - SECTION ~o~ ~clffilC~ SER~CES SCALE: AS NOTED NOT TO SCALE ~.~o ECllO S~ET D~WN aY TFM ~C.O~O~.~S~ MAY, ~00~ MUNICIPALITY OF ANCHORA GE Development Sen/ices 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: May 07, 2001 Expiration Date: May 07, 2002 Permit Number: SW010102 Legal Description: VALHALLA BLK 3 LT 12 Design Engineer: 0019 Flattop Technical Services Owner Name: JAMES CALT Owner Addrass: 12326WILDERNESS RD ANCHORAGE, AK 99516-2243 Parcel ID: 015-212-12 Total Bedrooms: 3 Site Address: 012326 WILDERNESS RD Lot Size: 17600 SQ. FT. Permit Bedrooms: 3 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. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewatar 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: Date: 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 SEWEPJVVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number Property owner(s) Mailing address (1) Mailing address (2) Day phone Zip Code ? ¢,.¢'1~- 2243 Legal description (Lot, Block & Sub'd.) (.-~ Legal description (Section, Township & Range) Lot Size ! 7, ;oo Acres/Sq. Ft. I~, lY[oCk .-? t./~ll.t, llt-. ..C I~ Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Well Only Water Storage 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 is in accordance with applicable Municipal Codes. (Signature of property owner er authorized agent) Permit Fees: Waiver Fees: Date of Payment: Receipt Number: (Rev. 12J00) day Date of Payment: Receipt Number: CIVIL & ENVIRONMENTAL £NG~EERtNG * ENERGY CONSERVATION & ANALYSIS TltEODORE F. MOORE, P.E. 14530 ECHO ST. Pti: (90'/) 345-1355 ANCHORAGE, ALASKA 99516 April 24, 2001 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 12, Block 3, Valhalla S/D, located at 12326 Wilderness Drive. The existing system can no longer accept the wastewater'load generated in the residence. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. As you can see, the area available to upgrade the system is extremely limited. The proposed system will be constructed in the vicinity oftest hole ti 2. As can be seen from the soil log, the native material between 4' and 19' below ground level is somewhat silty, gravelly sand. Although the measured perc rate was faster, we have based the design on a somewhat conservative perc rate of 6 - 15 minutes per inch, which corresponds to a soil application rate of 0.8-gpd/sq. ft. This 3- bedroom residence requires a total absorption area of(3 x 150)/0.8 = 563 square feet. The proposed 52- foot long trench design with 9 feet of effective gravel has a total absorption area of 954 square feet. Part of the reason for the additional length is because the 100' protective radii &several nearby wells limit the available area to the proximity ofexisting soil absorption systems. The extra length should compensate for the possibility of encountering contaminated soils in the vicinity of the existing pit or trench. The topography &the lot slopes downwards towards the west at 0 to 15%. The proposed project is not expected to have any significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space-surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. LOT 2 (VACANT) WELL-- ........ .. ",,: CONSTRUCT NE'VV ~'-~, 53' SOIL ABS. TR. LOT1 / ;' ~WITH 9' GRAVEL · / INSTALL ', .e/ N w1000 / 1973 _ ~ SEEPAGE WELL SHED LOT 11 / ,,' LOT 12 1977 LOT 12, BLOCK 3, VALHALLA S/D WELL AND SEPTIC SYSTEM SITE PLAN FLATTOP TECIINICAL SERVICES I INCH = 40 FEET 14~130 ECIIO STREET DRAWN BY TFM ANCIIOP. AGE. ALASKA 99516 APRIL, 2001 NOTE: THIS IS NOT A SURVEYED PLAT. i ALL LOCATIONS SHOWN ARE APPROXIMATE. 4" DI~ D-3034 // 43 / /--PERF. I I::1 ~ LCONSTRUCT 53"LONG SOIL ABSORPTION TRENCH c.o? DBL ~ ~INSTALL N~ 1000 GALLON SEPTIC T~K C,O. PLAN VIEW SCALE: l" = 10' 2'+ SOIL DOUBLE C.O. ~ FINAL (~ 3 1 ORIGINAL GROUND 2~ RIGID INSULATION :)OOGALLO~ CROSS-SECTION SCALE: l" -- 5' -- ORIGINAL GROUND 4" D-3034 WASTE LINE FROM HOUSE FILTER FABRIC ! 1/'Z' GRAVEL OF EXC. -- 53'-LONG SOIL ABS. TRENCH W. 9,0' EFF. SEWER GVL. LOT 12, BLOCK 3, VALHALLA S/D SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECl HqlCAL SERVICES 14530 ECIIO STREET ANCI IORAGE, AK. 99516 SCALE: AS SIIOWN DRAWN BY: TFM APRIL, 2001 q:fattop q'ecllnica£ Serviees 14530 ~Ec[io Street, ~ncKoratle, .fit 99516 ~Pftone (907) $45-1355 Lot 12, Block 3, Valhalla S/D 12326 Wilderness Drive Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope ofthe project consists ofabandoning an existing septic tank and soil absorption system components and installing a new 1000-gallon septic tank that discharges effluent into a 53-foot long soil absorption trench with an effective gravel depth of g-feet. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved afier settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading afier the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank and seepage pit must be properly abandoned by thoroughly pumping, removing the tops and backfilling with soil. 2.2 The new 1000-gallon, 2-compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil outside the 100-foot radius of all nearby wells and at least 5-feet from the proposed trench. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buffed less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream ofthe septic tank. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating a 53-foot long trench to a total depth of 13 feet below the highest natural ground level encountered along the alignment of the trench. Care shall be taken to ensure that the trench does not encroach on the 100-foot protective radii surrounding nearby wells. 3.2 Insofar as possible the long axis of the trench shall parallel an existing contour ofthe land. The bottom ofthe excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 9.5 feet of approved sewer gravel shall be placed in the bottom ofthe excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 9.0 feet above the bottom ofthe sewer gravel. Sewer gravel shall be 0.5" - 2.$" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion ofthe monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet ofsoil cover is to be placed over the filter fabric. Ifthe soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.6 The top surface ofthe cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement ofadequate topsoil and seed to promote rapid revegetation ofall areas disturbed by the construction. 4.0 Inspections: 4.1 A minimum of 4 engineering inspections will be required during the course ofthe project: (1) initial stakeout with the contractor to establish the location ofthe system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. I TEST HOLE# ] I LEGAL D E S C RIPTIO N:.~[.D~.,~ ~!.~L.~/D DATE PERFORMED: March 30. 2001 PERFORMED FOR: Jim Calt (feet) 1 Pt SM Reddish sandy loam ML Gray gravelly silt SM/SP Somewhat silty sand Gravelly above 5' Fine sand only between 5' & 12' Siltier w. some cobbles below 12' FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST SLOPE 13- 14- 15- 16- 17- 18 Depth to Groundwater Date No Groundwater 3/30/01 -[Vl o-~' ~u~ e--~ry 4/20/01 SITE PLAN PERC TEST--~ LOT 12 A T.H. B1 ~ m ~'~ili~ii I ~-BORM .~ SEPTIC TANK' - [HOUSE SEEPAGE ~ 19 ~ ~ I / 0%' PERCOLATION RATE 11 (minutes/inch) PERC HOLE DIAMETER TESTRUN BETWEEN ~,0 FTAND 8.5 FT Perc test conducted in separate excavation from test hole as shown on site plan. Material encountered in perc test Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) 3/30 12'' Presoak 27 1__~ Resoak 27 ~ Add water & start 4L3.11~30 231/2 #1 5:_01 ;30 30 20 1/2 3 Add_~!ter 5L02 23_~_16 #2 5L32 30 20 5/8 2 15116 Add water 5:_32:_30 23-5J #3 I~:0~:~0 ~0 20 11116 2 15/16 COMMENTS: hole was somewhat siltier than material at comparable depth in test hole. PERFORMED BY FLATTOP TECHNICAL SERWCES. I ~.,~.~..,J~_~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~ / ~-. y / O/ TEST HOLE FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG o- PERCOLATION TEST LEGAL DESCRIPTION:~U-a S/D DATE PERFORMED: April 12. 2001 PERFORMED FOR: ,)ira Calt DEPTH -- (feet) -- Pt SM Reddish sandy loam GM Silty gravel 4 5- 6- Somewhat silty gravelly sand Similar to TH #1 More gravelly above 5' Fine sand only between 5' & 12' Siltier w. cobbles & boulders below 16' SLOPE Depth to Groundwater Date No Groundwater 4/12/01 "U ~tu~o~-dry 4/20i01 SITE PLAN : : ' : : : 0% Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) 12" Presoak 27 3/4 Reso_ak 2~-3/4 Add water & start 11:32:30 23 3/~8 ,Add woter1143: 23 1/4 #2 11:53 10 17~/8 6 1/8 Add..~ter 11:54:~15 23 5/8 #3 12:04:15 10 17~/8 6 1/4 14- 15- 16- 17- PERCOLATION RATE 2 (minutes/inch) PERC HOLE DIAMETER ~ TESTRUN BETWEEN 10.5 FTAND 11.0 FT COMMENTS: The material encountered in the perc test h°le was highly vadable ' generally less sandy than in main test h°le' h°wever the material encountered at the perc zone was padiculady clean. Recommend designing on basis of 6 - 15 min/~nch. PERFORMED BY FLATTOP TECHNICAL SERVICES. I ~'.~'. ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: z~//~. ~, ,/O/' .ER ANCHORAGE AREA BOR .$H Department of Environmental Quality 3330 C Street Anchorage, Alaska ggs03 INSP~CTiON~EPORT ON:SITE SEWAGE DISPOSAL SYSTEM NAME ~\ ~ , I-~'N'-~ _ MAILING ADDRESS ~'J~P /~A' ]~'~''~ PHONE3¢-~¢ ,~(~:mF SEPTIC TANK: ~ ~G DISTANCE NUMBER OF FROM WELL_. MANUFAC7 URER MATERIAL __.COMPARTMENTS INSIDE LENGTH._ INSIDE WIDTH LIQUID DEPTN LIQUID CAPACITY GALLONS. TILE DRAIN FIELD: DISqANCE FROM WELL FOUNDATION .NEAREST LOT LINE TOTAL LENGTH __OF LINES NUMBER OF LINES / DISTANCE BETWEEN LINES .... TRENCH WIDTII IN. TOTAL EFFECTIVE ABSORPTION AREA O SQ. FT. LENGTH OF EACH LINE I / DEPTFI OF FILrER ~ i DEPTH: TOP O~ TILE TO FINISI~ GRADE~)'~'~/" MATERIAL BENEATH llLE -~ .~'. ABOVE TILE ~¢ IN. WELL: TYPE .CONSTRUCTION DEPTH DISTANCB FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK. _, SYSTEM . CESSPOOL ~. ,OTI4ER SOURCES APPROVED _ DISAPPROVED REMAR¼S _ DISTANCES: DIAGRAM OF SYSTEM SEWER LINE DEPTI4: PIPE MATERIAL: LOT SLOPE: DATE.~'~/ ~'/~ APPROVED - G.A.A.B. Forn~ ED-Q32 F:IF:'F::'t. :1: C:FIt",I I )'iii;i: t ): I",IE:H I OCF:I t' :[ IZd",iI g t1:: F: HFIN iJ~X~I:::II id;i? lii:/ii: l lt l'ltlt.I 1't HFI::.:::I;!"ItiI'I t'.i HI::FI;? I'F: lidi:l)l:;~:EuZ)l't:F; ::: I Hli:: ! l!:':t",ll:;:i 1t*1 1) ]: I'llElq:i~; :t: [:')N :1 ::'; i tie I .E:I",IG'I'I'I ,:: :1: N F:E':liii:'l' :) ELF:: Jliliil IFil: I::'I};F:'i'll OF: FI /'F~:tid"JCH OF~: F':I:t' :l;:!i; IHli{ I) ): ::i!;"I'FINC:ti~ l::i',[~:ti,.]ti~:N GIq:Ol.~i",t[) FINE:' -Il'Ii'i: l~tOl"l'O('l OF: TI'ii.:: I'E;:':;E:F¢,,,'FI'I:I:Oi",I ':::1:1",1 '[HF~:I:;?.Ii: il:iii; i",lO :!;EZI' I.'J)ZD'tI-I F'E[F;;: 'l'F:U!:l",lE:ki!i!::~i;. q'Hl: Glqtl:q","li;I I:)lli:l:::'fl't :l::'i; i"l"l~i: Hii:N):t"IUH [)t.:.F"t-ll OF:' [:!il::d:::t',,,'El_ 1~',I:!71'I'.tEFFN TH!E I:ll',t[.:, I'l'lli: ii',OTt'OH OF:' 't"I'iE: I'!:;:'0::::I::IVI::(I :I:ON '::illh! ~ ii ;:l :l il.,ll;:, ili"!l:, t'll!: F t'l'tq I~11: , !1 (i[.;l:¢,,,'; [ l]:q~]I:' i'{l Ici; '!Ill! H ]t'.,i I ["il ',ii:ii, Ifil: I::l I fl;][,i Etl. '1'[;!. I ,-., I I]';~ly I.:il:i:l:f,,,'l~i I:::l:'[ I,ii I:iq i[[:: t r'. ! ', ii ' i].,I i:'flh::i!'[!:il',!l i't[{[ I viiililq:;i'l i;:l':',itt[,,JCl:] l?,[.;l!,.li; [, i { I:'l: i-;: i 'it,d ¢L. f[/[lt~ ::'"'"" ~.. 'ti: [! -',',i; / t'i 'fI][i[jl;';]-[[~r:]' GRE 'TER ANCHORAGE AREA BO" ' UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL f~, INSIDE LENGTH '~__ INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS J LIQUID DEPTH ~ LIQUID CAPACITY /~O(~ GALLONS. SEEPAGE PIT: NUMBER OF PITS [ DIAMETER ~ OR WIDTH/'~,,('¢ LENGTH]/¢ , DEPTH LINING MATERIAL ~/O~'/-~'3 CRIB SIZE: DIAMETER__DEPTH ,/.O DISTANCE FROM: / TOTAL EFFECTIVE BUILDING FOUNDATION~¢)/~¢/2 NEAREST LOT LINE~ ABSORPTION AREA (WALL AREA) WELL SQ. FT. ADDITIONAL ABSORPTION WELL: ~,gC')?o. 3 ~./) TYPE J~l~)/~J//~[~//,{~ CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DISTANCES: ~/~/-¢)d¢¢[~v ~/- INSTALLED BY: ~(¢(/)E;~ ~')~-¢T", PIPE MATE RIAL:/¢/ LOT SLOPE: R E MA R KS :,.¢~d~ Form No, EQ-031 DIAGRAM OF SYSTEM DATE(~/////~¢ j2_'~ /9 ~ APPROVEDG.A,A.B,~/'~' O, ~-g(tZ~.~./X)-" GREATER ANCHORAGE; AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 lie I I STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274'456~ PERMIT SEWAGE DISPOSAL SYSTEM -- APPLICATION A~ID PERMIT INSTALLATION OF: SEPTIC TANK TYPE AND S~ZE OF FACILITY TO BE SERVED FINANCED THROUGH -- SOIL TEST RESULTS COMPLETION DATE ANTICIPATED MAILING ADDRESS /./,¢-z.//¢~/../_/'/ NOTE~ THIS PERMI¥ IS NOT VALLE) WITHOUT SOIL "One test is ~vorth a thousand opinions" Performed For ~Z6~Xm /,K7 ~X~/~/-.~ Date P, erformed 3-)7-7a Leqal Oescrintion: t. ot_//Z- Block This germ Re~orts Soils Loq Percolation Test Oeoth Feet Soil Characteristics ~ L/ '~ r- /0 ~ ~.~__._~_, ~ "' I' Was Ground Water Encountered? Yes, At what Depth? Reading Date Gross Time Net Time Depth to H20 Net Dro Percolation Rate Minute Prnnosed Installation: Seepaoe Pit Drain Field Deoth of Inlet Depth To Bottom Of Pit Or Trench t,IUNIC~PALIrY OF ANCHOt,~AGF ' OF I-IEALTti AI'4P ENVIRONME[' L PROTECTION L S'Lree~, Anc, horaqe, ALaska 99501 ~/Z~ 2'79~251l~ e:<L. 224 or 225 Pate Received: _A_~9~9.~_~_~_~.%~.~_~. ......... REQU~]S'Z' FOR APPROVAL OF INDIVIDUAL MJWt R AND WATER 1;'ACIL].~PIDJS Fred Tinch Phone 349-2801 Mai]Jlig Address: S%ar Route A Box 1585X 99507 3. 'l]egal DescrJpt:ion: Lot 12 Block 3 Valhalla Subdivision J ml/_ly Res'[ f em~,e: (x~ Mu].tipl~i Fam:i.]y Residence: ( Number of Bed:r:ooms: Three Well/ System: Tnd i vi dual We 11 (x) CommuhJ ty/Public System ( ) Permih t} Depth of Well We].l Log ()il Fil~; ( .(m:;~ t re;El.on 13ackor'ia]. Analysis S(~'wa. qe Disposal Sy.skem: On-..site Syskem (x~ Pub].Jc Ut:i.].ity ( } )(ii!Iii L ~} ...................... lnsko, lled -_!~7.2 .......... Installer Sopk]c .Lank c' , l.z,. Mallufac~nror Abso~rptJ on Area , o ~ ....Ratie MaterJ.al '/. D:ista)F.;e.~;; iA/e].] ?o Sc. pt:Jct Tank ho Abao):pti.oll Area Sewer ]5:iile .............. Nearesl:: I,ok line .................... Absorpki,.)n Area Page Two Department of Health and Environmental Protection Request for Approval ef [Lndividuat Sewer and Water Facilities Affadavit A'Li,[~ched: ( ) Lett. er At~n~,ched: ( ) ,'3 o ¸5. MUNICIPALITY OF ANCHORAG[~ Department of Health and Environmental Prohect-ion ti 825 L Street, Anchorage, Alaoka 99501 279-.2511, ext. 224, 225 ~quest for Approval of Indiv{dual Sewer and Property Owner Mailing Address: Phone: .......................... Mailing Address: ____~O_~_.I.~._._~...FI_ ........ x:J._do_~_[i _j ..... Phone: :Mai. ling Address: Phone: Lega 1. Description: Street Location: Single Family Residence: Multiple Family Residence: Number of Bedrooms: ..... x_~ ( ) Number df Bedrooms: Water Supp].y: *Individual Well If Individual Well, we].l depth If Conmmnity System, name of system (~/ Public/Community System ( ) Sewage Disposal System: If On-site Sy.>tem, date On-site System of installation: (~ Public System ( ) *NOTE: A well ].og is required on ALL wells drilled since 6/75. · 3/7'7 06 1220(a) Rev. 1973 DATE ALA DEPARTMENT OF HEALTH AND SOCIAL Si CES DIVISION OF PUBLIC HEALTIt Lob No._ INDIVIDUAL AND SEMI.PUBLIC BACTERIOLOGICAL WATER ANALYSIS OFFICE INDIVIDUAL [] NAME SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO ADDRESS CITY ZIP CODE ADDRESS OF SOURCE Analysis shows this Water SAMPLE to be; Sallsfaclary SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED Sample Collecled From [] OIher (List) Diameter of Well WeB Casing Length of Drop Pipe _ PUMP LOCATION: [[~ In Well On Top [] Of Well L~ Other PURPOSE OF EXAMINATION: Illness Suspected? New Source of Supply? [] Yes [] Under House [] Yes [] No [] Yes [] No [~ No Repairs to System? [] Yes [] No Signalure READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE 06 12~o (bi BACTERIOLOGICAL WATER ANALYSIS RECORD Rev 1973 am Lactose Brolh 10cc 10cc 10cc t0cc 10cc 1,0cc 1.0cc 24 Hours 48 Hours Brilliant Green 24 Hours 48 Hours Reporled by Date p,m. This analysis indlcates Coliform Organisms to be; Absent GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection [,~>/~Z REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WA'¥ER FACILITIES FOR Approval requested by: __~~--~.~ /~.~ Property Owner: Mailing Address: 3. Legal Description: ~ ×,-~ X'~~- 5. Type of facility to be inspected ~/~F~$/~al~ No. 6. Well Data: A. Type ~ .... ~-~.~.~ B. Depth C. Construction Phone: of bedrooms ?/.:f / D, Bacterial Analysis Sewage Disposal System: ~.~) ., / ~...~. / . ,.~ :z'y. A. Instal led ~/'z~:~x~---~-~ B. Instal l er C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: l. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank '/"~, , Absorption area , Sewer Lines __ Nearest lot 1 ina , - . Other contamination B. Foundation to septic tank.-" C. Absorption area to nearest lot line , Absorption area EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re est for Approval of Individual ,~er & Water Facilities Lugal Description Comments Approved . , Disapproved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental DIAGRAM OF SYSTEM Date J- Quality certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily, SIGNED Date EQ-034 (1/74) 06-1220(a) Rev. 1973 DATE ALA DEPARTMENT OF HEALTH AND SOCIAL sr CES DIVISION OF PUBLIC HEALTH LeB No INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS OFE,CP INDIVIDUAL [] NAME SEMI-PUBLIC ~] CHLORINE RESIDUAL PPM REPORT RESULTS TO ADDRESS CITY ZiP CODE ADDRESS OF SOURCE COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY Analysis shows this Waler SAMPLE to be: [~ Satisfactory [~ Unsogsfaclory [~] Questionable ~J Sample too long in transU; sample should not be over 48 hours old at examlnalbn to ~ndlcate reJiable results. Please send new sample. [] Bottle broken [n transit, please send new sample. SANITARJAN'S REMARKS SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED [] Other (List) - Under House Yes [] No Diameter of Well . Depth Feet. Well Casing Material Diameter Depth Length of Water Depth Drop Pipe From Bottom Feet. PURPOSE OF EXAMINATION: Illness Suspected? [~ Yes READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE [] No [] Yes [] No Signature a6 ]~o (Ld BACTERIOLOGICAL WATER ANALYSIS RECORD Rev i973 am Date Received ........ Time Received pm Lc~b. No .actose Broth 1Otc 10cc 10cc 10cc 10c¢ 1.0cc 1.0¢c 24 Hours 48 Hours ~rilllant Green 24 Hours 48 Hours Reporled by Date p,m. This analysis indicales Coliform Organisms to be: Absent Present