HomeMy WebLinkAboutWYNTER PARK #1 BLK 2 LT 12Wynter Park
Block 2
Lot ).2
#051-492-13
LEGAL DESCRIPTION
Municipality of Anchorage Page I of_;t-.
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: .Sw. OIO I ~ 7 PID Number:
Wastewater System: 1:3 New ~!~ Upgrade
Upgrade
New
Pump Sel al:
ABSORPTION FIELD
)~'DeepTrench C] Sha,ow Trench O Bed [] Mound [] Other
TANK
Ftor~
Well
Surface
Water
Lot
Line
Foundation
Curtain
Drain
Remarks:
SEPARATION DISTANCES
C3 Septic
Manufacturer:
Materiel:
1-1 Holding [] S.T.E.P.
Capacity in gallons:
Number Of Compartmenls;
LIFT STATION
level at: "Pump off*' level It:
BENCH MARK
Inspections performed by: ~'. R. £. ~ Dates: 1st 7/PIo~
· 2nd 7hllo!
· "="" ,~/,~ /
Department of Health and Human .Serv,,~. approval
Reviewed and approved by--ate./O -/'7 oO
Permit No.
Sw010187 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. 8ox 196650 Anchoro§e, Alaska 99519-6650 Telephone: 345-4744
On-Site Wostewoter Disposal System and/or Well Inspection Report
Legal Description:
WYNTER PARK i~1, LOT 12, BLOCK 2
PID No.:. 051-;492-15
Gg4V~:L
\
S~[P4~ P!
c 8,., ps.gI
o 7g.e' FO.O' I
135.3~
S 89'59°41° ~/
7/20/01
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6550
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Jun 13, 2001
Expiration Date: Jun 13, 2002
Permit Number: SW010187
Legal Description: WYNTER PARK #1 BLK 2 LT 12
Design Engineer: 0024 Eagle River Engineering Services
Owner Name: DIANE & REINHARDT RIGGELSEN
Owner Address: PO BOX 670050
CHUGIAK , AK 99567-0050
Parcel ID: 051-492-13
Site Address: 024569 PARK DR
Lot Size: 31014 SQ. FT.
Total Bedrooms: 3 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. 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.
Issued By: ~//~__7~ ~
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. O ~"'1 '" ~ ~., "' ['~ Permit Number SWOIO/8 7
Property owner(~'~~~ (~'~ ,.~1'3 t'~ ~1~ ~0~,~,~¢ ne~'"~-'-,~
Legaldescription(Lot, Block&Sub'd.) ~.~L{I%"[--~ tr'~__.('~-- ,~,_,_~
Legal description (Section, Township & Range)
Lot Size ,~! O ! ~ Acres/Sq. Ft. 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 []
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 a..pd is in accordance with applicable Municipal Codes.
(Signature of property owne;' or aYu~-orized~agent)
Permit Fees: ..~,.~ 43 . O ~ Waiver Fees:
~-~-~' bi Date of Payment:
Date of Payment:
Receipt Number: '5"~.~,..~ Receipt Number:
(Rev, 12/00)
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
June 12, 2001
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Lot 12, Block 2, Wynterpark #1
Parking area
Dear Mr. Cross:
The site plan we have submitted shows the upgrade leachfield over a driven surface. The site area is
limited for leachfield upgrade so we have to use this area, which is actually a parking and turn around
area. This letter is to confirm our intent that the area over the new leachfield will be blocked offso that
there is no parking over this area.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis
Butera, ,-, /
Acknowledged by ' Diane Riggelsen )' --
~200 I'01-012PARKING
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
June 4, 2001
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Lot 12, Block 2, Wynterpark # 1
Narrative & Permit Application
Dear Mr. Cross:
The proposed well and septic system will have very limited impact on adjacent properties for the
following reasons:
The surrounding lots are served by public water supply, allowing sufficient room for
septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. The soil permeability is good.
4. Drainage will not be affected and is not a major consideration in our design.
This design xvas complicated by the fact that the south part of the lot is very steep. The remaining area
is utilized for parking or the existing system. Upon excavation of TH 1, an old bury hole area was found
to the North and East of the hole. There is a ~vaterline to avoid. This places the upgrade area into a
situation where we have to be up to the lot line (Y) and adjacent to the driveway. We are requesting a
waiver of lot line distance, and allowance to construct the leachfield end within 10' of driveway. For
the lot line ~vaiver, this will not impact the neighbor as the area adjacent to the proposed field is
undevelopable. The driveway concerns will be eliminated by adding insulation over the field and
burying 5' deep. We are also requesting a I0' setback to change in slope to a small steeply sloping,
vegetated bank to the north. It is not felt that this slope provides a significant threat to allow effluent
daylighting. As the present system has failed and is in danger of surfacing we are requesting an
expedited review.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
k2001\01-012NAR
%. PAGE
.
~. . ....'....... ~.~ ...t .~,......,.
.): :..'.; ~:: ...:.
.~ ~ GRAVEL ~RIVE
~ TEST HOLE
· MONITOR TUS~
o - S~ER CL~ OUT
~ - WELL
~UENT
PROPOSED L~CH FIELD
m- EXISTING L~CH FIELD
SEPTIC SITE PLAN DETAIL
LEGAL: LOT 12, BLOCK 2 ~NTER PARK ~1
OWNER: RIGGELSEN ~" ~".~
CONTRACTOR: N/A
P.O. ~o~ ~94 ~,~ '.......'
EAGLE RIVER, AK. 99577
(907) 694-5~95 FAX: (907) 694-3297
~ ~LLS, SEPTIC *~ ~ ~
~35.3~
S 89'59'41' ~
NOTE: [xlstlng sepiic tank is upgraded, no inspeciion required. ~ - 1EST HOLE
* - MONITOR TUBE
Upper leach fleldover flow to lower, o S~[R CL~ OUT
Abandon seepage pit by pumping and bock filling. + WELL
No surface water +100' - ......
No known curtoin drains PROPOSED L~CH FIELD
Insulate leach field with 4" burlol foam, if within 10' of drlvewoy. ~- EXIS~NO
S E P T I C U P G R A D E
LEGALt LOT 12~ BLOCK 2, ~NTER PARK ~1
~o~ o~-o~2s/~l[: ~/4/0~ ~ SCLC[ 1" = 50' ~..~ .........
EAGLE RIVER ENGINEERING SERVICES
A P.O. Boz 773294 · ·
EAGLE RIVER, AK. 99577
q
, t
(907) 694-5195 FAX: (907) 694-3297
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
LEGAL:
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
Lot 12, Block 2, Wynterpark/ti
June 4,2001
A. GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a pan ofthis specification.
3. All materials and workmanship shall meet the Anchorage Department of ltealth and State
Department of Environmental Conservation requirements.
4. All soil tests arc advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. It is always recommended that a surveyor locate the nearest lot line position and the location of any
easements.
9. Any remaining open test hole excavations shall be filled.
B. SEPTIC TANK
I. Septic tank was upgraded in 1991 and should be adequate without inspection.
C. TRENCH
I. The trench is to follow the natural land contour to malntaln uniform total depth of the trench bottom.
The upper trench is to be installed so that effluent will overflow to the lower, shorter, trench.
2. The bouom ofthe trench excavation prior to rock placement shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 9' at any point.
4. The effluent line within the trench shall be laid level within 0.03'.
5. The trench gravel is to be covered with typar fabric material.'
6. Soil or combination ofsoil and extruded board insulation to a depth of 3' or equivalent is to be placed
over the leachfield.
7. The area over the trench is to be finlsh graded to prevent ponding of surface water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACIlFIELD DIMENSIONS:
TOTAL DEPTil -- 9' GRAVEL DEPTH = 4' under pipe, 2" over pipe
TRENCII LENGTH = 56' TRENCH WIDTII -- 5'
SOIL RATING = 0.8 GPD/ft2 BEDROOM CAPACITY = 3
SEPTICTANK = Existing
Twenty. four (24) hours notice required for all inspections.
k2001\Ol-Ol2spc
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 01-012
Calculated By: LB
Date: 6/4/01
Legal: Wynterpark #1 Lot 12 BIk 2
Single Family 3 Bedroom Dwelling
TEST HOLE
Shallow Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 450 gallons
Percolation rate = 14 minutes per inch
Wastewater application rate = 0.8 gallons perday persquare foot
Required absorption area = 563 square feet
Trench width (W) = 5 feet
Gravel depth (D) = 4 feet
Required length = Shallow trench factor * Required absorption area / W
Shallow trench factor = (W + 2) I (W + 1 +2 D)
Shallow trench factor = 0.50
Total Excavation Depth = 9.0 feet
Required length -- 56 feet
01.012cal 4:33 PM6/4/01
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage. Alaska 99502..0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:
I
4l
5-
6
7
8
9
10
11
12
13
14
15
16
17"
18'
19'
20--
COMMENTS
WAS CROU~O WATER
ENCOUNTEREO?
Township. RanGe. Section: TIS;V: I~v , 5~c.
SLOPE SITE PLAN
Reading Date Time T;ml Wat~ Oroo
PERCOLATION RATE
Immu:es,,ncnl PERC HOLE DIAMETER
TEST RUN BETWEEN FT ANO FT
/'/-,lc .4~,.,~~....~ ~,,~ '/'- ,,/-~ ,~..,:,. g=,-,~ o,*,. ,~o-"", ,,'.~-..-
ACCORDANCE WiTH ALL STATE ANO MUN:CIPAL CuIOEL:NES iN EFFECT ON TH~S DATE
CERTIFY THAT THIS TEST WAS PEflFCRMEO IN
O,TE.
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
FERFORMEO FOR:
LEGAL DESCRIPTION:
DATE PERFORMED: ~'/~. ~/~1
Township. Range. Sect,on: TI~'~: I~: Se&.
SLOPE SITE PLAN
2
3
4
5
6
7
8
9.
10-
GROUND WATER
)UNTERED?
I A
\
11 s
IF YES. AT WHAT (~
DEPTH? p
E
Oilt 5'% '3o -DJ
Gross Net Oegth to Net
14 - Reading Date T~me T;me Water
15 - See
16-
18-
7 " ~:~F,~o ~Y~"
19- ~ ,, ~.vo ~-:n 7~r' · ~"
20-
PE~O~TION ~ATE
TEST nUN BETWEEN ~ FT AND ~ FT
PERFORMED BY. ~.P',.E. ~. I ~~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE.
Mnnicipality of Anchorage
Development Services Department
auildin{ S~'eSy Divisiou
On-Si~ Wate~ and Was~n~' Program
4?00 Br~aw Street
P.O. Bog 196650 Ancho~o, AK 99519-66~0
www.¢i.anchor~.ak.us
Waiver Review Worksheet
~ WR0t0085 PID~: ~1Sl.492-13 HA~:
Date Received: 1~t08/01
Legal Descriptfo~: yVvnter Perk #1 Block 2 Lot 12
Eaale River Enalneeflna 8ervlcea
Applicant: I~elnhart Rlaaelaen
Waiver Requested: 3 Feet from Lot line to Absorotlon Field
Cdteda: Geology
A. Water Table
B. 8~iI Somtlon
C. Permeability
D. Water Table Gradient
E. Horizontal Separa~on
Total:
Pemfi~/: ~W010187
Point~:
illllllllllllllllllllllllllllllllllllllllllll(1111111111111111111111111111 I IIIII
Waiver is Granted: Waiver Is not Granted:
List Conditions or Reasons for above:
Date: , By:
Name of Reviewer
Rec#: 11203 Amount: $11s.oo Date Paid: 1~mt2OOl
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: .Sc,J ~1 o~ ~ PID Number:
~ame: Wastewater System: ~ New ~ Upgrade
Phone: ~¢~-5~[¢ ~No. of Bed%ms: U Deep Trench B Shallow Trench QBed BMound ~Other
Soil Raling: Total Depth from original grede:
LEGAL DESCRIPTION ~.~/sq.
Block: Subdivision: 3epth to pipe bottom from ofiDinsl grade: Gr~vel depth benesth pipe
Section: Fill added above original grade: Gravel length:
Township: ) ~ ~.{ Range: ~ b~ ~ ~ Ft. Ft.
WELL: D New D Upgrade Graveldepth: Numberofllnes: Distance belween lines:
Ft. Ft.
Classification (Prlwte, A,B,C): Total Depth: Cased To: Total sbsorption area: Pi~e material:
)tiller: Date Drilled: StaticW~ter Level: Installer: Date Inst~lled:
Ft.
r ~ield: Pump Set st: Casing He[ghl Above Ground:
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P.
To ~ Septic Absorption Lift Holding ~ubl[c/Prlvs~6 Manufacturer: Capacily in gallons:
:rO~ Tank Field SI.l~o. T.nk Sewer LI.es ~ ~tO~ %~
Number of Compartments:
Water
Lot , ,//& ~j~ ~1, Size In ,agons: Manufacturer:
Fou.dat,o. /.' '.'' ./, .A .A "Pump on" level at: ~ "Pump off" level .,: [ High water alarm at;
Drain
BENCH MARK
Location ~nd Description:
Assumed Elevation:
Inspections performed by: ~,~,~- Dates: 1st ¢ ~e~l
Department of Hea~,~ an~ Human S~rvices approval ".':' '
72-013 (1/91) MOA 25
PermltNo..~, ~/ z~/~.7 Page / of
Municipality of Anchorage
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
Legal Description: ,Z,~y~ /.~_ /~//¢ ~ /~.2 >' ?~'~/~ er' .~ PID No '
135,32
89°59'4]
SCALE~ 1' = 60'
ELEVATIONS
NOT TO SCALE
FOUN]~AT[ON ~-Tz~ ~',)
~ AggUNED ELEV =
72~13 A (2/91) MOA 25
ENG
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· ;I ...,... , .. / ~ ,~ , ~t ,.~ AS-BUlL ~
: :.'.~.. '. . . :,ac~m ~ :,~ ~. I ~V, 4.... ~ ~:-~.' ,~ ~- :-
.'... ~.;;- []T *~ ~ ' q, ~, ~c~ ? ~ / lin~s un i ( o not overJ.~p or e,~u,~,,
:.'::;~f-~eteu~'.et~,~;'~h ~ · fA~"* ....... ,' ~ ] v ~, ndiu~ent ~here[o, that.no lm?ove~ep~s
, -~,~04.~ ,,r,u. ~,~ .~. ~' ~" ,,'' tank rep~acemnn onxy. IIOBgRT C Joll~uu. *~';. L~_: -
' ' . ~ALE 1 u os~ercd,Land. Surv~y~ No. ~8 - ·
':'~"d'~'~'?'¢:?- "'"' "? ': ', '' -".Z' rff~ "'~Z'?'~:
l ~.~{ff~'?~'d~j~'~' ' ~ ......... 7'~""' ' .. . . ,: . ' ' ', , " ' .: ', ,:" '..
SPECIFICATIONS FOR SEPTIC TANK REPLACEMENT
LEGAL: Wynter Park #1, Lot 12 Block 2
A. GENERAL
The drawings shall be a part of this specification.
All materials and workmanship shall meet the requirements of Anchorage
Department of Health and Environmental Protection Permit.
B. THE SEPTIC TANK
Septic tank construction shall be a +1,000 gallon steel 2 compartment tank
approved by the Municipality of Anchorage.
Septic tank is to be installed level on compacted base material.
All connections are to be made with caulder couplings.
The existing tank is to be pumped, removed and properly disposed of. Hole is
to be backfilled with a base of pit run gravel.
New tank to be provided with two cleanouts after tank as per current regulations.
Tie into existing leachpit.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM
PERMIT NUMBER:SW910173
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:KISER GORDON R JR &
OWNER ADDRESS:SR 2 BOX 4634
ANCHORAGE, ALASKA 99567
PAGE 1 OF 1
L:, /
//m
(UPGRADE) PERMIT ~/~
DATE ISSUED: 6/27/91~
EXPIRATION DATE: 6/27/92
PARCEL ID:05149213
LEGAL DESCRIPTION: WYNTER PARK #1 BLK 2 LT 12
LOT SIZE: 31014 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
SEPTIC TANK SYSTEM
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 (iSAACS0).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
ISSUED BY:-
DATE:
RE" ER ANCHORAGE AREA BOP"UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~OJO qDU&~¢~::. MAILING ADDRESS PHONE
LOC AT, O N ¢':i)~1/2 <~ C ~¢_~-'~'~'
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
NUMBER OF
MANUFACTURER_~T/~(-[( ~-r~-L. MATERIAL ~1~-~-/~ ~-
- COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY //4~)~t~) GALLONS.
SEEPAGE PIT:
NUMBER OF' PITS I
LINING MATERIAL ~.~¢i
BUILDING FOUNDATION
DIAMETER ~B OR WIDTH ~'~'1, LENGTH /~,/ DEPTH ~1
CRIB SIZE: DIAMETER ~t ·
DEPTH ~ DISTANCE FROM: WELL
, NEAREST LOT LINE ~-I TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ~-~
ADDITIONAL ABSORPTION
SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION
.CONSTRUCTION
NEAREST
LOT LINE
CESSPOOL
_. OTHER SOURCES
APPROVED
DISAPPROVED
_ DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK , SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL;.
LOT SLOPE:
REMARKS:
Form NO. LQ-U31
DATE
DIAGRAM OF SYSTEM
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAME OF APPLICANT
INSTALLATION LOCATION ~* ~2~
LEGAL DESCRIPTION L~ $ I~-
INSTALLATION OF: SEPTIC TANK
TYPe AND SiZE OF FACILITY TO BE SERVED
FINANCED ThrOUGH
SOIL TEST RESULTS
MAILING ADDRESS PHONE
SEEPAge PIT V , DRAIN FIELD _, OTHER
NOTE~ THIS PERMIT iS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED· BADKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE /~X~X_ b TYPE
DIAGRAM OF' ~YSTEM
MINIMUM DISTANCES, REQUIREMENTS
f
SEPTIC TANK TO SEEPAGE PIT WAll
., DRAIN FIELD
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
SEEPAGE Pit --
ALSO CONSIDER AREA WELLS.
· SEEPAGE PIT
GRAVEL BACKFILL
CONFORM TO BOROUG EGULATJONS REGARDING INSTALLATION.
LICENSEDODREs,GNER
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCr'~/~ SYSTEM;S ] 7COORDANCE WITH SAI D CODE' x ~ ~ ( '
:;' INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAOE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~F~/IRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
( ENVIRONMENTAL SANITATION DIVISION 00T 1 4 1980
T.,..,o.e 2,,-,72o RECEIVED
REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FAOII. ITIE$
DIRECTIONS: Complete all parts on page 1. Incomplete requests wJJl not be processed, Please allow ton (10) days for processing.
1. PROPERTY OWNE PHONE
MAILING ~DDRESS
PROPERTY RESI DENT Jif different f~om a~o~e) PHONE
2, BUYER PHONE
MAI El N~G ADDR ESS
3. LENDING INSTITUTION I PHONE
MAILING ADDRESS '
4. REALTOR/AGENT / ,' PHONE
MAILING ~,,D D R E~.~ ·
5, LEGAL DESCRIPTION
STREET/LOCATION
6. TYPE OF RESIDENCE
~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
[] INDIVIDUAL*
COMMUNITY
PUBLIC UTILITY
NUMBER OF~BEDROOMS
[] One [] Four [] Other__
[] Two [] Five
. J:~.'" - Three [] Six
* ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM ~ INDIVI DUAL/ON'SITE~'
[] PUBLIC UTILITY
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
[] SINGLE FAMILY
[] MULTIPLE FAMILY
2, WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3, SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
[]PUBLIC UTI LITY
Connection Verified
[]Septic Tank or [] Holdin9 Tank
Size: If Tank is homemade
ire dimensions:
NUMBEROFBEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATEINSTALLED
iNSTALLER
SOILS RATING
TYPEOFTANK MANUFACTURER
TOTALABSORPTION AREA
MATERIAL
Septic/Holding Tank
Absorption Area Sewer Line
4. DISTANCES
WELL TO:
[] OTHER
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
DATE
[~'"'~APPROVED FOR ,~ BEDROOMS
[] CONDITIONAL APPROVAL Oetter must accompany certificate)
[] DISAPPROVED
72-010 (Rev, 6/79)
MUNICIPALITY OF ANCHORAGE DEW. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~NMENTAL PROTE~ION
925 L Street - Anchorage, Alaska 99501
,, V=RO U.mAL D WS=O SEP 5 1978
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on gage 1. Incomplete requests will not be processed. Please allow ten (10) da,/s for processing.
1. PROPERTY OWNER
MAILING ADDRESS
PROPERTY RESIDENT I f different from abovel
BUYER
UHONE
PHONE
MAILING ADDRESS
3, LENDING INSTITUTION,~./~_~z~ ,~"~',~'~'- 1~,~ I PRONE
MA~ LING ADDRESS
4. REALTOR/AGENT
PHONE
MAILING ADDRESS
LEGAL D ESCRII~'iON
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [] Four
~ SINGLE FAMILY E~]~//Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
[] Other
7, WATER SUPPLY
[~] NDIVIDUAL*
~ .,~[~B COMMUNITY
[] PUBLIC UTI LtTY
- ATTACH WELL LOG, A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give wel
:leith )attach cc. if available.)
S. SEWAGE DISPOSAL SYSTEM
NDIV)DUAL/ON-SI'r ~*~
[] PUBLIC UTI LITY
**If individual/on-site, give nstallation date~ ~ ~] t / / l
If system S over ZWO [2) veers olrd an adequacy test is required
bv this Departmenz.
~IOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72q310(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
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 UTI LITY
Connection Verified LOG RECEIVED
,3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY .~-~,-) ~/'
Connection Verified
INSTALLER
Size: ( o ~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank on Area Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[] APPROVED FOR ~ BEDROOMS
[~] CONDITIONAL APPROVAL (letter must accompany certificate)
~ DISAPPROVED
DATE BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
DAVID A. SLENKAMP
ROBERT A, SHAFER
MECHANICAL ENGINEER
694-9055
October 13, 1980
CIVIL ENGINEER
694-2979
Area Reslty
ATTENTION: Jeyce Porte
P.O. Bo× 249
Eagle River~ Alsske 99577
Desr Ms. Porte~
Reference: Merrill Lynch Property; Lot 12; Block 2; Wynter Perk
: S~bdivision No. 1
At your request a sewer system sdequaay test was performed on the
system locsted on the referenced property. Tho septic tank was
pumped snd verified to have ~ s~pacity of 1000 gollons. The seepage
pit was ohsrged with appro×i~tely 800 gsllons of w~ter and st the
end of a 24 hour period all the wster which had bean added to the
system had percolated into the surrounding soils.
It can be concluded from this test that the sewage system is
currently functioning adequately to serve the three bedroom trailer
located on the refarenced property.
If we may be of further assistance~ please do not hesitate to call.
Sinc~ly, //]
V S/sa
cc: Municipality of Anchorage
Department of Health and Enviornmental Protection
Alaska Eanl~ of the North
SRB 196X EAGLE RIVER,ALASKA
