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Home My WebLink AboutT12N R3W SEC 22 LT 11CTI 2N R3W ction 22 Lot 11C #015-141-46 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 of ,,w~v.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. ~ ~/~| ~)~O~ PlO Number. ~,,,o.:N'""': ?~l,'t ~..-I,L'I,T"~--- WastewaterSystem: I--INew ~Upgrade I0~ol r'[a,-e- ~;~ ABSORPTION FIELD ~: ~ Of ~Tt~:N3nll: i"1 Deep Tre~l ~'1 ~hallo~ T~:h I'18ed ri Moun4 LEGAL DESCRIPTION SEPARATION DISTANCES ~ Septic I-I Holding [] S.T.E.P. [] Other. Septic Absorption Lift Holding Pubtic/P~t~ i~/,.~,~au~ Tank Field :Station Tank s~r line ,~ ~,~ ~.l-~l . T~l,,t~4_ '~'~'w'"' t,t~ O ~ / LIFT STATION ~'"~' BENCH MARK Inspections performed by: '~,S Dates: 1 t 2"~ Development Serv,¢e$ Department Approval ....,...;.. Reviewed and approved by: ~ ate:JO -/0 LOT ~IA LOT ~ ~ -I LOT ~SA ~4 ~ ....... :r.~.=....~ ..... ~ q~$~ LOT LOT TIC TANK SCALE, ]' = 50 ~ ANCO. A~. 9950t SHE~' 2/~ GRID: ~636 (907~ 279-~9t~ I0901 CLA~E CIRCLE PERMIT ~ S~0]0~05 PI~ g 015-]41-46 9~G 1~3~11C~9~G MUNICIPALITY OF ANCHORAGE 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: Jun 22, 2001 Expiration Date: Jun 22, 2002 Permit Number: SW010205 Legal Description: T12N R3W SEC 22 LT 11C Design Engineer: 0007 Tobben Spurkland, PE Owner Name: John Clare Owner Address: 10901 CLARE CIRCLE ANCHORAGE, AK 99516-1609 Parcel ID: 015-141-46 Site Address: 010901 CLARE ClR Lot Size: 52272 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 ,All construction must be in accordance with: 1. The attached approved design. 2. ,All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling ~- (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 2 2 --,:2/ 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) 343-79O4 ON-SITE SEWEPJWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SW 010~._.~,,~_. Property owner(s) Mailing address (1) ~ address (2) Legal description (Lot, B:ock & Sub'd.) L,~'~' Legal description (Sectiin, Township & Range) Lot Size ~;7_;;;Z'7,,.~.,, ~ Acres~ THIS APPLICATION IS' FOR: Sewer Only ~ Sewer and Well Sewer Upgrade ~ THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool I certify that the abow Single Family Dwellir (Signature of property ev II c. Zip Code Number of Bedrooms Well Only Water Storage Jacuzzi Water Softening Unit information Is correct. I further certify that this application is being made for a g and is in accordance with applicable Mu 'cipal Codes. nor or authorized/gent) Permit Fees: --~,~ O ~" Date of Payment: ~/*~/~/ Receipt Number: ~'/~ 7 (Rev, 12/00) Waiver Fees: Date of Payment: Receipt Number: LOT HA LOT II~ N P5 0 c'~50 SCALE, 203 W 15TN. AVENUE ~NCN. AK. 9950~ (~o~) 2~-.~ LOT 11 ~ 1' = 50 FT. 22 LDf IlC SECTION 22 TI2N £3V 10981 CLARE CIRCLE COLLAt~SE9 [1250 I I I LOT 10A LOT SEPTIC IANK NO. C£-2~25 SEPTIC SYSTE%I DESIGN DATE: JUNE 18, 2001 SHEET: 2/5 GRID: P636 PE£NIT # SVOIOXXX PID # 015-141-46 DV6 1232211CP. DV6 i~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO"rECTION ~ 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 MAILING ADDRESS LEGAL DESCRIPTION LOCATION I NO, OF BED~OMS ~ Z Manufacturer ~ ~/~' I ~'~ Material No. of compartments ~ ~ Liq. capacity in gallons IF HOMEMADE: ' Inside length Width Liquid depth , ~ Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Nearest lot line PERMIT ~ ~ISTA~GfiTO: ~ ~ Foundation ~ Trenchwi~~ D,stancebet~eenlines ~ ~ Top of tile to finish grade Material b~nea(h tile Total effective absorption area Length Width Depth ~X ~¢~ ~ PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth To¢l effective absorption area ~ 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(si ~ DISTANCE TO: OTHER PIPE MATERIALS SOl L TEST RATING 9~ ~ ~ I ~ APPROVED DATE LEGAL '~'7,2-013 (Rev. 3/78) ¢'~;,' 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 REPOR~ NAME PH~)N E [] NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION 'NO. O~ BED~OMS .. ~ Well IAbs°rpti°narea ' Dwelling PERMITNO. DISTANCE TO: ~ Manufacturer ~;~ ,.~ ~aterial No.o, compartmedts Liq. capacity in gallons IF HOME,DE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT O ~ ~ Manufacturer ~te~ial Liquid capacity in gallons Q Well Nearest lot line PERMIT Z~tu DISTANCE TO: I H8 FounOat,on~ ~5 Trenchwi~O'nches Distance betweenNO'g~O~qZlines ~Z~-O No. oflinesL Lengthofe~,~e Total leng~oflines ~ I Top oft e to ~i~ grade Material b~e~h tile ~ . ~otal effective absorption area ~ ~ F ~ ~ ~ inches Length Width Depth ~ ¢. PEBRIT NO. ~ ~ ~ Type of~ Crib diameter ~rib depth To~l effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Ctass Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(si OTHER PIPE MATERIALS SOIL TEST RATING I ~, REMARKS . ~[ W APPROVE~ (Rev. 3~78) L EH:'J;FiT Z OiH _ ~: ,r., ! H. ;i.] !"IZLE=.":' .':~i .... -I',IFI, ..... F~' ,~?f', LCF!" E '[ ~E "Zq ~ -'}-:~; 4.2: 54::I_20 SI;!L.iFIF~:E .:'[ET S(]:[L F'c~*FTi'' ':~ ,:";;F::! rT,, E,r ........ "['HE LENGTH D)::f"IEi'.,ISi'ON IS "!-..LIE LENGTH (IN FEE'T) OF THE "FRE:NCH OR DRR!NFIELD. 'l-FIE DEF'TH OF' FI TRENCH ()F~: F']'.T :[."-2; THE D]:STFI!'.,fCE BET'!,!EEN THE S£.LRF'FICE OF THE GRC'~IJND FiND THE E~OTTO!'! OF "I"HE E:qC[:IV,q.T:[ON (]l"i FEET). ]'FIE GR[:i',..,'EL DE:F'TH iS THE: P!!NIMLiH [:,EPTH .gF GRFI',,,'EL DET!.,iEEN ]"FIE CiLFFF'F:IM.... F'iF'E [:IND THEE E:OTTOM OF THE EF(C:Ff~¢F!I"IOi",! (IN [:'bEET). F:'ERH_T.T FiPPL]:CFif".Fi' HF!S THE ..¢'?.E:SPOi',!S!E',.T-L. iT",~' TO iNFORM THiS [;,EF:'F1RTMENT I_':,URIiq(!i THE i"!STRLLfiT :[ ON ] N:];PECT.T- OHS OF [:d"i'¥' I.,]ELLE; FIi];,J[:IE:ENT TO TH ~'-:.'; PROF'EF.:'f"?' FIND THE NUHE',ER OF Fi'.ESIDENC[ZS 'THFIT 'THE HELL. i,.i]:LL SERVE. l'"IIi'.!li'"iUi-"! DiSTF:INCE BETHEEN F~ HELL ~N[.) FIH'.? CIN-S:['TE ;L!;i:JC~ FEET FOR Fi PR:(',/Fi]"E HELL.. CIR X. 50 TO 2E~0 FEET FROM L.IPOt'q TFI[E T'~-'F'E OF pI_i[3L.!C HELL. H!FiIPiI.ii,i DISTF:Ii'.iCE F'ROH [:! PR~',/RTE HELL TEl [:t F'RIVR-FE SEHE[?. LINE :£S ;F.'5 FEET FIN[) TO FI, COHMIJN:[T? SENER L..T-NE ]:S 75 FEE]'. OTHER F~E~]:!L.I_TREHEI'.iT'S I','!FI':-' f:~F'PL'T'. SF'ECIF]:CRTiONS FIN[:, C;ONSTRLICTIOH D:[F!GRF:t.,"IS FiRE [:F?'Ri'LF:IE',LE T'CI IN:E;URE F:'RCIPER !i'.,!STFiLL[:ITIOFL Z CE[RI-]:F~? THFi'F ::!.: Z FiH FFii,!);L:£F!F:'. N):-I"H THET. REQL!i[;;IEME?,!TS FOR ON-SZTE SEi,iERS F!Ni} HELLE; I:1~; FORTH B'./ THE FILIN:i:C~PRLZ'i"V OF' F~HC;HORROE. :2: ! I,.!:[!..!... ]:HSTRLL 'THE :5?STEH :[~',! RC:C:OR[:,RNCE F.!)ETI-I TFiE C:ODEES. 7J:: :I: tJN[::,Ef~r~;"I'R~',JD THR'!' 'I'HE ON'-St'!"E: SEi.,!ER SN":E;"FEId t'dR'W REQL!tRE ENLRRGE]"!ENT ]:F THE RE:S;[E;'ENCE IS REMODELED TO ZNCLUDE MOF:E THRN 4 BEDROOMS. F![ 'F',.. ~4. J..:.,:,L!c,_ ~ F ~ ........................................................................ '-' GRE 'TER ANCHORAGE AREA BO UGH Department ~)~3E;;ir~?en~ntal Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ABDRESS~O~v /?--~) ~4/~-/~ PHONE? LOCATION~//~; ~/Z~Y-~ ¢£,t'0 ~¢/.NZZ~/b/ ~/~.CO.) SEPTIC TANK: LEGAL DESCRIPTION ~)7' //~ ~¢' ~.Z,~. ~/?)3¢~ 7~ /-07- I/ DISTANCE FROM WELL MANUFACTURER NUMBER OF MATE RiAL~,,Z~ ~ / ~¢ ~Z~¢ / COMPARTMENTS INSIDE LENGTH INSIDE WIDTH -- LIQUID DEPTH '---- LIQUID CAPACITY. /~<:~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER 3 LINING MATERIAL CRIB SIZE: BUILDING FOUNDATION~/P , OR WIDTH~d? , LENGTH //~, DEPTH DIAMETER "~/ DEPTH ~ DISTANCE FROM: WELL /~'~ / TOTAL EFFECTIVE NEAREST LOT LINE ~. ABSORPTION AREA (WALL AREA} ~:~ SO. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION 41 CESSPOOL 'AJ0 A)~z¢ APPROVED CONSTRUCTION/~ ! NEAREST I~L NEAREST LOT LINE /~) SEWER LINE /0 + OTHER SOURCES DISAPPROVED REMARKS DEPTH ~/,g~ ~£~,~ DISTANCE FROM: SEPTIC ~ SEEPAGE TANK ~'0 -/-, SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE ~)/~,¢~- ~t~,/¢~ APPROVED ~ C// ,~)Zf~Z~ ~/ G.A.A.B. Form No, EQ-031 GREATER ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT MINIMUM DISTANCES, REQUIREMENTS s£PT~c TANK 5 TO NRA.EST LOT '~*ATER blAiN TO SEPTIC TANK [0 DRAIN FIELD [0 ~EPTIC TANK, 25 ~, ~EEPAGE PIT [00 ~e , DRAIN FIELD INSTALLATION OF: SEPTIC TANK ~ SEEPAGE: PIT---~/ DRAIN FIELD OTHER 80lg TEST .~SULTS /~/~ '///~.~/--/ NOTE= THIS PERMIT IS NOT VALID WITHOUT ~[L COMPLETION DATE ANTICIPATED ~J/////~J 4~X/Z: pF~MTT VAI ~ ~NF YFAR FINAL INSPEGTION~ 24 HOUR NOTI~ REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL IN~E~TION BY TH~ 10 ft. SEEPAGE FIT 20 ft. ii DRAIN FIELD - 10 .E.^GE,',, ALSO CONSIDER AREA WELLS, · SEE.AGE"'T ~0 ft ~0 CAST/~JI( EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I Abl FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA F=IOROUGH ORDINANCE NO. 2.8-68 AND THAT THE ABOVE /-~ZATER ANCHORAGE 'AREA BORO[(~ ) DEPARTMF. NT O,F-ENVIRONMENTAL QUALITY SSOO TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For joh~ .... Legal Description: Lot Block This Form Reoorts Soils Log Date Performed ~/Z]l/-~2' Subdivision NE~NW~,. ~ee 22 ~. 12 N: tL B W. ~M. Percolation Test Depth Feet hole ~o. ~ (see ~ttacbed) Soil Characteristics ~2 topsoil 2-- 3 -- ~ SW well graded sands (125~ 7 -- SM silty sands (250) 9 (19~ sq £t./ bedroom average) lO Was Ground Water Encountered? no ' If Yes, At what Depth? --i Reading Date Gross Time Net Time Depth to H20 I Net Drop' Percolation Rate Minute Proposed Installation: S.eenage Pit Drain Field Depth of Inlet Depth To Bottom Of Pit Or Trench COMMENTS: Test only to gmt=bl ~ sh the quality of the soil on the property for subdivision purposes. Performed By //~_~C~ Data Certified By: Date: '/-X!ATER ANCHORAGE,AREA BOROU/'~ DEP/qRTMENT OF ENVIRONMENTAL QUALITY '~ 3'500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For John O]aAr Legal Description: Lot Block This Form Reoorts Soils Lo9 Date Performed __SubdivisionNE ¼~ ~¼, Sec 22 T. 12 Nj R3W SM. Percolation Test Oeoth Feet 5-- 6-- 7-- 8-- 9 10-- hole no. 1 (see attach6d) Soil Characteristics SW Well Graded sands If Yes, At what Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate Minute Proposed Installation: S,eenage Pit Drain Field Deoth of Inlet Depth To Bottom Of Pit Or Trench C~MMENTS: Mr,.Clair is not buildin~ a.t this time, This soils test was performe~ only to establish the quality of soil &n the property for subdivi~ionpurposes. Test Performed By /~c~ ~~ Data Certified By: Date: ~-~!ATER ANCHORAGE .A.REA BOROUx~) DEPARTMENT OF ENVIRONMENTAL QUALITY - 3~00 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For John Cla±r Legal Description: Lot Block This ~orm Reports Soils Log X Date Performed __Subdivision NE~ ~ See 22 T. 12 N: R.~W SM. Percolation Test Depth Feet 5-- 6__ 7I 8-- 9 hole ~o.2 (see a~bached) Soil Characteristics SW well graded Sands (l~) Was Ground Water Encountered? ~_ ~'?^ I I I I If Yes, At what Depth?_ Reading Date Gross Time Net Time Depth to H20 ! Net Drop Percolation Rate Minute Proposed Installation: S.eeoage Pit Drain Field Denth of Inlet Depth To Bottom Of Pit Or Trench COMMENTS: Mr, Clair is not Building at this time, The soil test was performed only to establish the quality of the soil on the property for subdivision purposes. Test Performed By/~ ~q~ Data Certified By: Date: APPLIC'-NT FILLS OUT UPPER HAL~-~ONLY ~r°g~r;;~%-'~%.~T'¢7¢~l~4 'T', ~/,AC-~-T'"/2_N ~ ,~ c~a3~ c. o~ /_ot- ~ ~ - ~ Address Zip Code Address ~ Zip Code Type of Resi~nce ~ ~ ~ ~ ' gle Family / ~ ~ Othor Water Supply ~dividual A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975. ~ Community , For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility ; j ~idual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Notes: ~ MUNICIPALITY OF ANCHOEAGE ~ ~ APR I RECEIVED ~ - ~ ~ Well to Tank ~-~ Septic T~k Size 72-023 (3182) 'CHEMICAL & (~E ~OGICAL LABORATORIES ~_ ALASKA, INC. TELEPH(~NE (g071-279-4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name I.D. NO. Mailing Address Phone No CiW State Zip Code MO. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab reft no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE Time Collected NO. LOCATION Collected By t I ,-- //~:- -~: ~- ~'- I TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~'Satisfactory --I Unsatisfactory [] Samole too long in transit; sarr 9ie should lot be over 48 hours old at examination to indicate reliable results. Please sene qew samole, Date Received Time Received Analytical Method: [] Fermentation Tube [3' Membrane Filter Lab Ref. No. Result* Analyst I I I-T-I I ~ READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected 5ource Lab, NO. Presumptive 10mi 10mi 10mi 30mi /Omi )..Omi 0.1mi April i3 ~a ' John T, Clare Box 3171 Kodiak~ Ak 99615 Subject: Lot llC~ Sec 22~ '~ 12 ~ Approval for the individual sewer and water facilities cannot be grante.~ until the follo~ing ite~s have been completed The top of n~ well casing shoold be sealed so that it water tight, Exposed electrical ~ires to tha uell head are in ¥iolation of the ~lunicipality of Anchorage codes and ~nns~ he e~cased in conduit. f~lce fro~a the ~°~]e septic ta=k put~ped ~ith a receipt submitted to thi,~ Ple~tse notify this Department for a reinspect:ion ~he'a the noted discrepa~cies have been corrected. If there are any at 264-4720. ~urth~.~ qnestions~ please call this office Sincerely, Robert C. A~sociate Pratt Environmaa~al Specialist RP15/ej/D1