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GREENLAND (P-268) BLK 4 LT 5
Greenland Block 4 Lot 5 #015-172 02 () Municipality of Anchorage "'.~ Development Services Department "' ~- Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 Page I of www.ci.anchorage.ak.us (907) ~43-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number:. _~ U./c:~OO I ~_~ PID Number. O t 5' - 1 7 ~. -c~ '~ N~,,: ~ tqn ~atn/~'$~o WastewaterSystem: [] New [] Upgrade '~'"': ?.o. Go~ ~'Z.~,, ~,nrto~.,, 4t~ 9'/?z-~' ABSORPTION FIELD LEGAL DESCRIPTION o.g' ~eI ¥ 5- gCr~e~ I~n ~4 ' q.~t n. 5-. 0 0 ~ FI. I ~(~ Fl* Well: g=Y,/.5'/' []New []Upgrade ~,,,.t" n. P-I t?-. Ft SEPARATION DISTANCES ~ septic r-I Holding I-I S.T.E.P. [] Other. ~ Septic Absorptior Lift Holding Pubtlc/Pfivat~ ~,t~aca.~: Cn~ac~ Tank Field Station Tank Sc,,~r Line A h C~O t't~v~ "f'~,n/,¢' I ~.,-~'O c~. w,, It~_' 190, - . ~?..~-, .~t-ee! ~,w.,., > too' ~,mo' _ _ '~/ LIFT STATION V t~c,~ ~E~ * tO' -- _ b~*, BENCH MARK Eogineees Stamp Inspections pedormed by: ~f~p~e~ ~c Dates: 1' 7/~/Oo ~.,?~9~/% 2~ 7{7/oo Development Se~ices Depa~ent A~proval Reviewed and approved by: _ ~ ~. te: ~-/~' O / ~.'2. '-. CE. 35~? ..-'~ PERMIT NO: SW000183 PAGE 2 OF 3 PID NO: 015-17'2-02 58' TRENCH LEG W. 5.0' EFF. GV.L. I ~ T,.c.o.::~:: ,~:. ~o~'. , I- ~ ~ ~,.c.o. N " '~ ', I ~'"" TR, M.T, "O" 6E,5' 61' ', I ~ I TR. c.O."P" ~' ~' ~ I ~ LOT ~ · ',I ~ SEPTIC TANK SWING TIES: ~: I ~ "C" S.T.C.C. "G" 57' 38.5" ~: I [m [ ~[~ N~ 1250 GAL~ ~ ~ ~.~ '~ ~ ~i~ ~~' ""~ .................... ~;~:~ · ,"~;'~ ~ ~';~ ~' ~, I WELl. ~ AS-BUILTINSPECTION P~NVIEW ~OP ~CI ~ SER~CES SCALE: 1" = 30' 14~30 ECHO S~ D~WN BY TFM ~CI IO~GE, ~S~ ~ 15 FEBRU~Y, 2001 PERMIT NO: SW000183 PAGE 3 OF 3 PID NO: 015-172-02 ,/---GROUND SURFACE 4' SOIL COVER 4'+ SOIL COVER 1250 GALLON SEPTIC TANK INV. 92.1' ~ '"~'~I-~S. TRENCH i,"',' 50'GVL. .BELOWPIPEJ ,, ~-- BOTTOM TRENCH ELEV. 85.7 -- 907r ' ' WATER{~81.5' BOTTOM T.H. #1 :: ELEV. 77.6' ~ ,, LOT 5, BLOCK 4, GREENLAND SID SEPTIC SYSTEM UPGRADE AS-BUILT INSPECTION PROFILE VIEW FLATi'OP TECI INICAL SERVICES 14530 ECIIO STREET ANCI IOR. ts. OE, ALASKA ~516 NOT TO SCALE DRAWN BY TFM FEBRUARY, 2001 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON.SITE WASTEWATER DISPOSAL SYSTEM PERMIT Ul~grade Date Issued: Jun 21, 2000 Expiration Date: Jun 21, 2001 Permit Number: SW000183 Legal Description: GREENLAND (P-268) BLK 4 LT 5 Design Engineer: 0019 Flattop Technical Services Owner Name: Alan Bankstan Owner Address: PO Box 526 Barrow, AK 99723-0526 Parcel ID: 015-172-02 Site Address: 004821 JUMAR AVE Lot Size: 27000 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage Ail 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: ~"','J~- ~ Date: Date: CI~L & ENVIRONMENTAL ENGLNEERLNG · ENERGY CONSERVATION & ANALYSIS TllEODORE F. MOORE, P.E. 14530 ECHO ST. PiI: (907) 345-1355 ANCHORAGE, ALASKA 99516 June 12, 2000 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose ofthis letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 5, Block 4, Greenland S/D, located at 4821 Jumar Avenue. The original soil absorpt'on system is no longer able to accept the wastewater load generated in the residence. Soils logs, pete test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will I~e constructed in the vicinity of test hole # 1. As can be seen from the soil log, the native material between 5 feet and 14.5 feet below ground level is a fine silty sand with a measured pete rate of 2 minutes per inch. Because the measured perc rate was faster than we feel may be typical ofthe stratum as a whole, we have conservatively designed the trench on the basis of 0.6- gpd/sq, ft. Thus, this 4 bedroom residence requires a total absorption area of(4 x 150)/0.6 -- 1000 square feet. The proposed design consisting of 2 parallel 5-foot long trenches with 5.0 feet of effective gravel depth has a total absorption area of 1000 square feet. The topography ofthe lot in the area of proposed construction is almost flat. The layout ofthe proposed trenches is intended to avoid conflict with the existing trenches, however the exact configuration ofthe original trench system is unknown. Ifany sign ofcontaminated soil is encountered during construction, the configuration of the new trench system will be field-modified accordingly. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved spaca-suffaee and subsurface, or on drainage. Please give me a call at 345-1355 ifyou have any questions on this submittal. Sincerely, Ted Moore, P.E. ~__ cLAss : ~ WE, LL LOT 5 LOT 4 LOT6B ', BLOCK 3 BLOCK 3 BLOCK 3 '"'"".. ' ,"!' '~. R '''''/'100' , 115th AVENUE ,' ~ CONSTRUCT (2) PARALLEL T.H. 50' LONG SOIL ABS. TRENCHES ,, LOT 5 LOT 4 WITH 5.0' GVL BL~OWPIPES~.' ~ BLOCK 4 BLOCK 4 o SEPTIC o ~ <~ ASSUMED ° SYSTEM '2 ' CONFIGURATION o o -- :~ OF EXISTING , ' / D~NFIELDS SEPTIC ~ ,- BLOCK 4 ' ~~ · ,.~,,~ ~ ~ ~, ' ~.~WELL~ ~" ~ ",, W ' R I , : ', WELL ~ ~ ~ , o J JUMAR ~VENUE (PLATTE0 AS KLATT ROAD) ,' LOT ~. BLK. 4. GREENLAND S/D SEDPTIC SYSTEM UPGRADE SITE PLAN IrLATTO? TECtDq~CAL SERVICES 1 INCH = 50 FEET 14530 ECIIO STREET DRAWN BY TFM ANCI IORAGE, ALASKA 99516 JUNE. 2000 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE, c.o. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: c.o. M.T. ., / 4 DIA. D-3034 NON-PERF. PIPE FROM NEVV SEPTIC TAN7 CONSTRUCT (2) PARALLEL / 50' LO,N,G SOIL ABS. TRENCHES W. 5.0 GRAVEL BELOW DIST. PIPES ~ . 4" DIA. F-810 PERF. PIPE -- I / c.o. :::::::::::::::::::::::::: c.o. PLAN VIEW SCALE: 1" = 10' 15 / MONITOR TUBE . CLEANOUT // /--- MOUND BACKFILL 6" ~~- ORIGINAL GROUND .,.~/ FILTER FABRIC i '"~ 4" DIA. F-810 PERF. PIPE i [ ~ 1/2"- 2 1/'Z' SE'WER GRAVEL ]..~ BOTTOM OF EXCAVATION SECTION "A - A" SCALE: 1" = 5' LOT 5, BLOCK 4, GREENLAND S/D SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATFOP TECIINICAL SERVICES ] SCALE: AS SIIOWN 14530 EClIO STREET ] DRAWN BY: TFM ANCtlORAGE, AK. 99516 JUNE, 2000 ITESTHOLE# I LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR: . _ DEFTH- Pt. (feet) -- 5 6- 7- FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot 5, Block 4, Greenland S/D May t7:2000 ~Nao_Ba~ston SLOPE Depth to Groundwater Date Seep_~ 18' 5/17~/00 --rVVa~er ~-~---- 2" 5/24/00 SM Reddish sandy loam ML/SM Gray sandy silt w~th 6" lens of clean sand Indistinct t~ansi~on SM Gray, fine silty sand lenses of cleaner sand tS- 14- 15- ML/SM Sandy silt w. boulders Dense, hard digging p in sand seam B.H. Clock Net Time Percometer Net Date Reading Time (minutes) Reading (inche~) 5117 12" Presoak 27 3/_~8 Re~'~k 27 3/8 Add water & start 4:01:10 2~--318 #f---- 4:11:10 10 17 1-'~ 5 718 Add water 4:11 :,30 2.:~¥~1/2 #2 4:21:30 10 17 118 6 318 Add water 4:22 231__/2 #3 4:32 10 17 118 6 3/8 PERCOLATiON RATE 2 (minute~nch) PERC HOLE DIAMETER 5 TEST RUN BETWEEN 7,5 FT AND 8.0 FT COMMENTS: Material encountered in perc test hole was somewhat cleaner than is typical for st~'atum. Recommend using 0.6 gpd/sq, ff. for soil absorption bench design. PERFORMED BY FLA'I'rOPTECHNICALSERVlCES. I ~",.~ ~ CERT1FYTHATTHISTESTWASPERFORMEDIN ACCORDANCE wm.I ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE' DATE: q:fattop tl'ec[inicaf Services 14530 ~cllo Street, .flnc~orase, .~ 99516 ~one (907) $45-1355 Lot 5, Block 4, Greenland S/D 4821 Jumar Avenue Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope oftheproject consistsofreplaeement ofanexisting 1250-gallonseptietankand construction of 100 feet of soil absorption trench containing a total of 5.5 feet of'sewer gravel. 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 at, er 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 aRer the soil is compacted, as well as placement oftopsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank must be properly abandoned bY thoroughly pumping, rem°vine the t°P and backfilling with soil. 2.2 The new 1250 gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches ofapproved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproofmechanleal c°uplings' 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 I/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 2 parallel 50-foot long trenches to a depth of 10.0 feet below ground level. 3.2 The bottom of the excavations shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 5.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 5.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5' 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 lhe design drawings. The portion of the 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 of soil cover is to be placed over the filter fabric. If the 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 of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A minimum of 4 engineering inspections will be required during the course ofthe project: (I) initial stakeout with the contractor to establish the location of the 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 ofthe inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTFCTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPI:iCTION REPORT NAME ~/2~6 ' ~? ,3¢b~qq/ ~UP..ADE Z*'°" .o.o g.oo s Well Absorption area , Dwelling ~ ~ DISTANCE TO: lO0 / 5' 3 "t'~o.~. ¢ -- Liq. capacity in gallons IF ~MEMADE: Inside length Width Liquid depth _ fZ. 50 ~ Well Dwolling PERMIT NO. DISTANCE TO: ~ ~ ~ Manufacturer Material Uquid capaciW in ~allons ~ Well Foundation Nearest lot line PERMIT NO. ~ ~ DISTANCE TO: ~ ~ ~ No. of lines Length of each line Total length of lines Trench width Distance between lines inches ~ ¢ Top of tile to finish grade ~ Material beneath tile Total effective absorption area ~ inches -- Eength Width Depth PERMIT NO. .~ ~ Type of crib Crib diameter Crib depth Total effective absorption area I~ Well Building foundation Nearest lot line __f~ DISTANCE TO: MUNICIPALITY OF ANCHo~A~ ~ Class Depth Driller Distance to lot line PE~ N~ HEALTH & - ~ 4VIRONMFN'rAi ~ ~ DISTANCE TO: Building foundation Sawer line Septic tank Absorption ar~(~) .... OTHER PIPE MATERIALS [:l ~ SOIL TE~ RATING INSTALLE~ '~X'~ V' ~ J~ ~l APP~OVE~ ~ DATE LEGAL HtJNICIF'RLIT'¢ OF RNCH,. :IGE DEPRRTHENT OF' HERLTH F:IN[:, EN',,,'IF.".ONHENTRL PROTECI"ION 825 L 5;TREET., RNCHORFIGE., Rf-::: 99501 264.-4720 b, i'-~ -- .:=. :[ TE :SE[,.tEF.: F"EF-:Irri Z T FRH I T .NO: ,FII'E ISSIJEE:,: 84.¢'44:].:t UPGRFIE:,E I..:1,~,,. ~.2.,' ,..,'~' :IF'F'L I CRNT: · -I[.. 1:. RE_-, .-,: CONTRCT F'HONE: ERIC NORDSTROH 482i JUMRR RNCHORRGE., RK ~46-.299~ LEGRL DESC:RIF': SUBDIVISION: GREENLRND LOT: 5 BL.OCK: 4 L"-,EC:TION: 22 TOP-INC-;HIP: :J. 2N RRNGE: ]:1.4 LOT 2;IZE: ~C,~'-ce-------------%~Z~_~E,~ FT. :ZF_.L~C~'5.'., L. OT L. OCRTIOI'4: (.~EPL. FICEHENT OF .:.EFTI_. T~ ~,¢. I CERT]:F'T' THRT: , i. I FIFI FFIH]'.LIRR NITH THE REC~UIREI','IENT2; FOR OI'.,I-.E, ITE SEI,.IER:5 RNI) !.,.IEr. LL~ Rtz,, :SET FORTH B'.r' 'THE I"IUNICtPRLIT'¢ OF RNCHORRGE (HOR) RND THE L--',TRTE OF RLRSI<R. 2. I 1.4ILL IN~:;TFILL THE ='5"r'STEH IN RCCORDFINCE NITH RLL HOB CODE2; FINE:, REGULFITION£4., FIN[:, IN COHPLIRNCE NITH THE DESIGN CRITERIR OF THIS F'ERHIT. 2:. I NILL RE:.'FIERE TO RLL I"IOFI RNE:' STRTE OF RLRSF:.'R REC!UIREHENT~-:; FOR THE 2;ET BFICK E:'I2;TFINCE~'i FROH RN"r' EXISTING NELL., NFISTENFITER [:'I~;POSRL '=;'T'STEH OR F'UBLiC ~E.NERRGE S~?'STEH ON THIS OR RN'T' RE:'JRCENT OR NERRB'T' LOT. IF: FI LIFT STFITION IS INS'T'FILLEE) IN RN RRER COVERED E:'¢ f'lOR E, UIL.E:,IN3 CO[:,ES., THEN r.:i::, RN ' r' ' "- EL.E_.TF..ICFIL F'EF.'.f"IIT RN[:, IN':;,PEF:TIOI'.~_ __I"tI_IST BE OE,'TRINE[).~ ¢2) H_,=':z- ,E, Liii_.F.., NiL.L I'.?T E:E FIF'F'ROVED I.,.I[Z~IUT RN ELECTRICFII_ IN:~';F'E¢:T;[nN F.'EF'F~F.'T; FIND r.'~', TFIE ELECTF..ICRL ,:lRk: HU'-T ,E E:,n ' "' FI LICEi'.,12;EE:, ELECT~.IC~FIN.' ....... S I GNE:D / Z [:,RTE: · //~ j:::2',/¢//' ..................... ........ RF:'F'LICRNT: EF/.~C Kf'ORE.~;TROH ~ I ..... LIEE. ,:~ob,~.z._. E:,FITE: ALASKA ENVIRONI~C, NTAL CONTROL SERVIO , INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 SHEET NO OF CALCULATED BY '~ , DATE CHECKED BY DATE ~C^LE //2-- ,50 / INVOI¢£ No_ ~, 3220 NI-W DRILLING INC. DATE /Z// UNIT ANCHORAGE, ALASKA 99,51I QTY. MATERIALS PRICE AMOUNT PHONE 349-8535 LEGAL DESCRIPTION DESCRIPTION OF WORK AL/ charges shall be paid in full within ten deys un/ess other arrangements are made prior to drilling. The cueto~er aha,, pay in- 7~ £ P ~ r :'~ .^'r,,IA,, I~ROM ^SOVE, terest at the rate of 1 ~ % per month on any -- OTHER CHARGES amount aot paid within ten days. Failure to pay may result/~ a fien against the property. CUSTOMER SIGNATURE PAY THIS AMOUNT GH J /GREA .R ANCHORAGE AREA BOR ~;,I, ~~ Department of Environmental QuaJity 3330 C Street Anchorage, Alaska 99503 INSPFCTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME '/'~g~ g~'- Lf2-e/C-~T-'~C'~7'g'~'/t/MAILING ADDRESS ,~i/ /~, ~r~z2/~,/ ___ PHONE LOCATION /~L~?~- /~0 ~l~/~ LEG~fL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CAPAC TY_,/'2~'~ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL /CPC FOUNDATION g~o ! ¢~ TOTAL LENGTH NEAREST LOT LINE / O _ __OF LINES ! NUMBER OF LINES T"-¢)¢ DISTANCE BETWEEN LINES ./,/,4 TRENCH WIDTH /¢___~IN. TOTAL EFFECTIVE > ' ABSORPTION ARE~ ~Z/C~ SQ. FT, LENGTH OF EACN LINE DEPTH: TOP OF TILE TO FINISH GRADE ~ ¢ ~l DEPTH OF FILTER MATERIAL BENEATH TILE ~¢ IN. ABOVE TILE ~ .2. IN. WELL: T YP E.._'~-~_~/Oi~_~ .... CONSTRUCTION ~/~t ~_~e_--O DEPTH BUILDING NEAREST /¢ I~- NEAREST SEPTIC SEEPAGE FOUNDATION 2~01¢' LOT LINE SEWER LINE Z./-d' ! TANK ¢'g / SYSTEM CFSSPOOL _ OTHER SOURCES APPROVED DISAPPROVE[) ¢'/ REMARKS DISTANCE FROM: /o~ /~ DISTANCES: DIAGRAM OF-- SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL' ~- ...~ r' LOT SLOPE: REMARKS: ~ Form LQ-032 0 G.A.A.B. GREATER ANCHORAGE AREA 13OROUGH DEPARTMENT OF ENVIRONMENTAi~ QUALITY 3330 "C" STREET ANCHORAGF", ALASKA 99503 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLATION LOCATION __ LEGAL DESCRIPTION PIT__ DRAIN FIELD OTHER FINANCED THROUGH SOIL TEST RESULTS ~"'~'~ ! ~'2~ /'"--~ / COMPLETION DATE ANTICIPATED TO BE INSTALLED BY NOTE: THIS PEi~MIT IS NOT VALID WITHOUT SOIL TEST 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 //2'i'--~) TYPE SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION 'rD SEEPAGE PIT SEPTIC TANK '~ / ., SEEPAGE PIT ~,~ELL TO SEPTIC TANK J~''~l~] / DRAIN FIELD // ~'~J~J ~ol /O/ ., DRAfN FIELD ?j-/ WATER MAIN TO SEPTIC TA.~NK..~._ DRAIN FIELD / ., DRAIN FIELD /O~72 / SEEPAGE PIT ALSO CONSIDER AREA WELLS, ., DRAIN FIELD /I~'~''/ TO RIVER, LAKE. STREAM. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH ~EGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM I~ IN ACCORDANCE WITH SAID CODE, DATE R&M ENG,qEERING & GEOLOGIC/-,,L CONSULTANTS 229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419 Civil Engineers Geologists Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P.E,, LS. JAMES H. WELLMAN, P.E. RALPH R. MIGLIACCIO Engineering Geologist June 28, 1973 Mr. H. L. Reim Star Rt. A Willow, Alaska Re: Test Hole and Soil Log Report for Sanitary System Lots 4~,---&--67,~-t~o~r~-~, Greenland Subdivision Dear Mr. Reim: /---c-37-- ~% ~7~,~ //~ We are submitting herewith the test boring results and our conunents regarding soil conditions encountered at the sub- ject site. This investigation was performed in accordance with your request of June 27, 1973, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the area of Lots 4, 5, and 6 for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 11 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS mes W. Rooney JWR: ph xc: GAAB T.H.-I ORGANICS W/SOME SiLT O.0~ I .OI SILT~ SOME SAND AND GRAVEL WITH COBBLES Tan (ML) Slay SANDY GRAVEL Ton (GM) SILT, TRACE SAND (ML) Ten SAND~ MEDIUM TO COARSE GRAIN (SW) Il.O' No Water Table T.D. Note: Test hole excavated with tractor mounted backhoe. Silt seam four inches thick from 10.0-10.4'. Engineering Geological Consultants ,, ANCHO/~AOE FAIRBANK..~I ALASKA .JUNEAU H.L Reim Property LOG OF TEST HOLE Anchorage Alaska MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ~/./~ -z/ GENERAL INFORMATION Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Name ERI6 Applicant Address (b) Telephone: Home _3?6-2r/q/ Busi.ess (c) Applicant is (check one): Lending Instit. btion []; Owner/builder [~"; Buyer []; Other [] (explain); Telephone ~ (f) Mail tlr,9,~AA to the following address: Telephone TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms ¢'~ Other WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 SEWAGE DISPOSAL Onsite[~i~' Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verily that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~r F-.. C ~ ~ N ~-__, Telephone 5-~ / - ,~'~2 ¢O Al)proved for f~--_0/--¢- ,'~ Approved ,>"~ b e dD is°a°pn~; obv e 7d Conditionally/ Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent prolessional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Pace 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: /--.,.~- MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMEN'fAL PROTECTION APR 2 41988 WELL DATA Well Classification l I~/ ~) I L) ! D bll~ b If A, B, C, D.E..C. Approved (Y/N) Well Log Present (Y/(~ Date Completed I'~'./~- i*l~tF 1~"/¢ Yield Total Depth_ ¢¢~" ~ Cased to c~, / ~ Depth of Grouting Static Water Level ~ 1, ~ ~' Casing Height Above Ground __ Wiring in Conduit ~N) Electrical Separation Distances from Well: To Septic/Holding Tank on Lot j ! i00/ / To Nearest Edge of Absorption Field on Lot _ J t _O __ Pump Set At _ Sanitary Seal on Gasing ~N) Depression Around Wellhead (Y/~[~ _; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Line _ ~,//~ Cleanout/Manhole ~///~ __ Water Sample Collected by Water Sample Test Results Comments ~ 5~"j'~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot l O0 B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (~)'N) Air-tight Caps (~N) Depression over Tank (Y.(~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /V/~ Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course / O0 No. of Compartments Foundation Cleanout (~/N) Date Last Pumped _ ~//~- ;for ~7~fi Temporary Holding Tank Permit (Y/N) JV//J~ ___ To Building Foundation .~ 0 / To Disposal Field .~./ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 ' C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed "7/'3 / Width of Field ~ Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test 2?_-5' ?'-/8 Type of System Design 'T'/~ Length of Field Depth of Field 7, Gravel Bed Thickness 2.. , Standpipes Present Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Property Line /0" To Existing or Abandoned System on ; On Adjoining Lots /...~ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions /~" / .. Manhole/Acc~ i'k / /(.~ "Pum,d/~Off'' Level at ~/ F/ ' Vent(Y!N) //" Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I h~v,,¢ c.b.heqk~l,, vJ~rified,,or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Sgned ~. ~~~ Date ~/~ . ~. ' e ' Sea Page 2 of 2 ~fOfe::':,~.;~¥.; .:;¢~ Receipt NO. Date of Payment Amount: $ 72-026 (11/84) ALASKA BiiUIROI mSI TAL COI TROL S I UIC S, IFIC. ~n~in¢~rinq $ ~nuJronmcml $1udics BONNIE FISHER #821 3LMSR ANCHORAGE SELLER-ERIC NZI, ID STRCM BONNIE FISHER q821 3~ 0#/22186 60162 LE(~L,:GREENLAND B~ 0 LOT 5 ADEQJ,z~CY TEST FCR SEWER SYSTF_M ADEQ:UACY ~IEST DATE-00/16/86 THE TYPE OF ABSCRFFION SYSTEM IS A TRENtDi WITH AN /'-REA OF 908 SQFT. THE SYSTEM IS CAPABLE OF hZ]CEPTING 600 CALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 1200 GALLONS. BASED UFON TIIE TEST DATA THE SYSTEM IS /NO~PTABLE FCR A 0 BEDROOM I-[]W_.. SEPT I C TANK ADE(~UACY THE EXISTING SEPTIC TANK ¥OLLkYE OF 1250 IS ADEQUATE THIS 0 BEDRCCMHOUSE. THE SEPTIC TANK/PACIO~,3E PLANT WAS PUMPED ON 4/21/86 FLCNqTESTON WELl, WELL FLC~/DATE-00/16/$6 A~TEST WAS PF, RF~D ON THE WELL. 1200 GALLONS OF WATER WAS PLJMPED AT A RATEOF 8 GgMOVER A DURATION OF 2.5 HOURS. THE DRAV~ WAS 23.2 i WITH A RECDVERY TI~,OF 60 MINUTES AND THE STATIC WATD~ LEVEL WAS 61.9 FEET. THE ~/ELL IS ADEQ1JATE FCR THIS ~ BEDRCFDM FPJVE. APPLI( NT FILLS OUT UPPER HA. ~/~ ~ 1~, " ?'- /V f > ,,x.-i Property Owner / ¢'~'~ ~ ~. / :: ~ ONLY Mailing Address /%' C:; Zip Code Phone Buyer Address Zip Code I_ending institution Address Realty CO. & Agent Address :-' Zip C~de Zip Code Phone Phone Legal Description {j Type of Residence ~Sin gle Family ~ Multiple Family No. ~} Other Water Supply >El' Individual ~ Community [] Public Utility /-- o ;'--/< !:¢/% :_ ,'¥ - ':7 ATTACH WELl. LOG. A well log is required for all wells drilled since Jena 1975. For wells drilled prior to that date, give ,,,,,ell depth (attach log it available). Sewer Disposal ~ ledividual Year Individual Installed:to Utility:/ ~] Peblic Utility When Connected Public [] 14olding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time ' Date [}ate Inspector Inspector [)ate Ins,~lor Date Field Notes: ( ) CONDITIONAMAPP~VAL'~ DATE ..~ 'CONDITIONS OF APPROVAL Approval has been given in the past for a four(4) bedroom(1972). When the sewer system is no longer performing adequately for a four(4) bedroom, than an additional 250 gallon septic tank will need to be added. This will apply to any resale or system upgrade. 10-26-83 Soils Rating Date S~_~,er Installed 72.023 (3/82) Well To Absorptioe Area wel~ to Tank ~ ~ Well Log Received Septic Tank Size / Q © ~-'~ i SUBJECT Lo% 5. Dloak 4~ Greenland S/D DATE 5 31 84 i.~! p~:,rmit:: T fnunrl t:ha~. ~4r. ~lordskrom had applied for a It~ in October, 1983, L; l'*r,~. ~m~c] ~h~ rovewsad lo~al (that is. Lot 4, Block 5) Tho zn::ormatlon in ~: ~.H~n~ ~ ] ~:, vz~ ral~vJc}unlv_ i. neorroc.k: ba~ed on that inforlaa~ion, a note was :~ ~ ~+.~,~bm~q ~-~ ~h~, HAA grankSng 4 b~droom approval for Mr. Nordstrom, but ' !~:7;~'n+'1ng i-t'~,q]- an 't]pgrm"to_ wo'uld b~. n~ed~d for future_ .~a:l_e~, That note is hereby voided and a correcti~9NED has now been made to the file. I:11= I~ L,Y SIGNED '~T~::OraM~, 4S 472 S~D PARTS I AND 3 WITH CARBON INTACT - PART 3 WILl. BE RETURNED WI'i'H REPLY, DETACH AND FILE FOR FC'JlIC)W-IIP