HomeMy WebLinkAboutDEARMOUN LT 16 MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage. Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
DISTANCES
.1""1 h-.-[. ! d_ ~ SEPTIC ABSORPTION
TANK FIELD WELL
DEhRNoUkt
~ el ~r~ms WELL
~ LOT LINE , ~Z ' ~
i.~ su.,.,.,o. FOUNDATION
~hon
Ill'lOt 70
TANKS
SEPTIC [] HOLDING
TYPE OF SYSTEM
[] TRENCH ~ BED [] W. DRAIN [] OTHER
I:1
2.4'
,~ c~4 SO FT ~'
~'0 so FT
WELLS
~/PRIVATE , ( f [] OTHER (Identify1
REMARKS:
Eo
Heallh Department Approval:
72-013 (3,85)
M U N I C I P A L I T Y O F A N C H 0 R A G E
Department of Health & Human Services
825 L Street, Anchorage, Alaska 99501 545-4720
0 N - S I T E S E W E R & S E P T I C T A N K
Permit Number: 890170 Upgrade
Date Issued: 08/18/89 Engineer Designed
PERMIT
Owner Name: BILL MATTICE
Owner Address: 4101 DE ARMOUN
ANCH~ AK 99516
Day Phone:
522-1511
Parcel Id: 018-101-01
Lot Legal: Subdivision: ~DE-ARMOUN HOMESTEAD Lbt~
Section: ~8 ]ownship:
54500 (sq. ft. or acres>
This Permit: 5 Total Capacity: 5
Lot Size
Max Bedrooms:
SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic
tank must have at least 2 compartments.. Depth to top of septic tank(s) < 4.0
feet requires insulation over tank(s).
~EST HOLE IN BED ARiA MUST BE FILLED BELO~ B~BO~o~ WITH IM
ERVIOU
M~TERIAL'. THIS SYSTEM MUST~ BE INSTALLE~ I~ ~CCORDANOE
~ITH ENGINEER°S DESIGN. DHHS MUST BE NOTIFIED RRIO~ TO ALL IN-
SPECTIONS. THIS PERMIT IS FOR A 3 BEDROOM SINGLE FAMILT RES-
IDENCE ONLY, AND EXPIRES ON
I CERTIFY THAT:
1. I am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality of Anchorage (MDA) and the State of Alaska.
2. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria o~ this permit.
5. I will adhere to all MOA and State o~ Alaska requirements for the set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid ~or a maximum o~ 5 bedrooms.
also understand that the capacity of the total system is 5 bedrooms and
any enlar~nt will r~uire an additional permitI
Signed: ~~~.__~,~_~]~__ ._ DATE · __~_~_C~_~_~_ .__
· Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN
825 'L" Street. Anchorage. Alaska 99502-0451
SOILS LOG -- PERCOLATION TE~
.ERFOnMEO fOR: ~?
:~,
8-
20.
ATT' I~' ~'
Township. Range. Section: Tl?kl ?~;~ .~ ~
SUBD. SLOPE
IF YE$oATWHAT
DEPTH?
SITE PLAN
Tim~ Tim Water Drop
4 " ~ :~ ,, , ~4 .
PERCOLATION RATE ~),~o {~ I (rmnute'~',~chl PERt HOLE DIAMETER
TEST RUN eE~EN ~ FTAND ~1c ET
ACCORD~CE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/~/~
72~ (R~.
/ /~-'~Prop~e,d New ,Tank
SYMBOL
24 ~ x 47 ~ / ~ ~ ~ewa
DEA~MOUM ~0AD ~APPROX. LOCATION OF
GAS LINE
Proposed Syst~ BED
(3 Bd~)(250 sq. ft./ Bd~){1.5) = 1,125 sq. ft.
Construcf Bed 24' Wide x 4?' ~on9 = 1,128 sq.
Install New 1,000 gallon, 2 compar~ent, steel tank. M.O.A. Approved
Install clean-q~s between house and tank, and between tank and bed.
HO ~ ~0 ~
, , , ~: -.~ C/o
i,SEWER. SYSTEM"LOCATION PLAN.
:[-- '~~' '" ' : -%%1 ~¢/ ......
.~.=~.GREAt'~, ANCHORAGE AREA BOR(~"3H
of Environmental Quality
Department
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
DISTANCE
FROM WELL ~'~'"'~ MANUFACTURER MATERIAL
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY
INSIDE LENGTH INSIDE WIDTH ~ LIQUID DEPTH
/ ,~//~J TOTAL LENGT,I~-- /
/,..~3 FOUNDATION EAREST LOT LINE '"~' / OF LINES v~'
O,ST^NCE BETWEEN L,NES TRENC. W,DTH ~ ~'N. TOTAL EFFECT,YE
! DEPTH OF FILTER
MATERIAL BENEATH TILE /O~/JlN. ABOVE TILE ~ I/ IN.
WELL: ,-~
TYPE ,~" / //~'~'7 v
CONSTRUCTION ~ ~,~-~ ~' ( DEPTH
DISTANCE FROM:
BUILDING NEAREST
FOUNDATION LOT LINE_
NEAREST SEPTIC SEEPAGE
5EWER LINE TANK SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES=
INSTALLED BY: -~'~
SEWER LINE DEPTH:
REMARKS:
DIAGRAM OF SYSTEM
DATE___~,.~App ROVED "" 1
--/ O.A.A.B.
Form EQ-032
GRE~TER ANCHORAGE AREA BOROUGH
' DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3330 "C' STREET ANCHORAGE, ALASKA 99503
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
IN$TALLATION OF: SEPTIC TANK ~/~ E[EPAGE PIT DRAIN FIELD . OTHER
TEST RESULTS ~ ~--/~/, ~ /~"/// NO~z THI! PERMIT 15 NOT VALID WITHOUT
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.
sE,'r,c TAN'< S,ZE /~'/_¢2"//'~."~.,
MINIMUM D I ETA N C ES,- RIr QU 1 R E:M E:NTS
DRAIN FIELD ~ '
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD ~' ~
DRAIN FIELD ~/~ /
ALSO CONSIDER AREA WELLS.
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEl.. BACKFILL.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF SYSTE:M
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE /' -- ~ ~ --~'~ APPLICANT', ~'GNATURE
.... '.,~ ~. (~'~Jepart~nt of Environmental
- it~\~'i~-(l'~l)/~/ 3330 "C" Street
~' " Anchorage, Alaska 99503
S~ILS LOG - PEROLATION TEST
Legal Descrlption~ ~ ~ 7~ ~~ ~ .~5,
This rom reports: Soils log - ~ m , Percolation test
Depth
Feet
2. ~t~oY ~,~u~
~ - doCbl e~ g ~ool~
,-
10-
12 .... ,
14-
Was grounuwa~er encountered?
If yes, at what depth? ....
Reading Date Gross Tin~ Net Time
)th to Water Net Drop
rate mi nute.
· Proposed installa~'T~'nT~-ge Pit Drain Field ...........
",-"-f Inlet . Dentl-[-t*o-'b'o~tom o-r-'pit or
~ ...... ~ ~ , /_~ ~2 ...
Perfo~d Dy :_~~~- Y
EQ-040 (G/74)
DAT~ flECEIVED
"- ~' ~ ,INSPECTION APPOINTMENTS
DATE DAT :)ATE
q- ~n-gC', ~_~
INSPECTOR INSPECTOR INSPECTOr[
.E.A.TME.' OF .EA''" · E.V,.O.ME"'A'
ENVIRONMENTAL SANITATION DIVISION SEP 2 2 1980
Telephone 2644720
RRECTIONS: Complete all parts o~t page 1. Incomplete requests will not be procm, sed. Please allow ten (10) days for processing.
t. PROPERTY OWNER ~(~t~°HON E
H*h,e "
PROPERTY RESIDENT {If dilferent from abow) PHONE
2. PHONE
MAILING ADDRESS
MAILING ADDRESS
4. REALTOR/4~GENT PHONE
, MAILING ADDRESS
5. LEGAL DESCRIPTION
6. TYPE OF RESIDENCE NUMBER OFtBEDROOMS
One I'--I Four ~ I--I Other
,~ SINGLE FAMILY Two [] Five
[] MULTIPLE FAMILY ,~ Three [] Six
7. WATER SUPPLY
~ INDIVIDUAL* * A'I-I'ACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTILITY depth (attach log if available.)
8. SEWAGE DISFOSAL SYSTEM - -
.~ INDIVIDUAL/ON-SITE" I q'~' YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
I--I SINGLE FAMILY
I-'1 MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] ONE I-'1 THREE [] FIVE
[] TWO [] FOUR [] SIX
[] OTHER
2. WATER SUPPLY
[] INDiviDuAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Sept. ic Tank or I-'1 Holding Tank
Size: [0~O If Tank is homemade
give dimensions:
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATEINSTALLED
INSTALLER
SOILS RATING
TYPE OF TANK MANUFACTURER
MATERIAL
TOTAL ABSORPTION AREA
4. DISTANCES
WELLTO:
Absorption Area to nearest Lot Line
SepticlHolding Tank Absorption Area
ISewer Line
INearest Lot Line
5. COMMENTS
DATE
[~'~PROVED FOR w _.~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
I-'l DISAPPROVED
72-010 (Rev. 6/79)
Anchor e
825 °'L" STREET
99-'~'''~'5U1 I~) -,.3-
ANCHORAGE,
ALASKA
(907) 264-4111 --
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
September 29, 1980
Michael W. Neher
Star Route A Box 304-N
Anchorage, Alaska 99507
Subject: Lot 16 De Armoun Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
The water analysis report be'delivered to this
department from Chem Lab, 5633 B Street, for
our review.
(2) Locate and expose the well for our inspection to
determine proper construction, also to insure
the minimum distance requirements are met between
your well and sewer system.
(3) The septic'tank pumped with a receipt submitted to
this department.
(4)
An adequacy test be performed on the existing leaching
area. This test will determine if the system is adequate
according to National Standards. A listing of private
firms performing the test is enclosed. This report
needs to to be submitted to this department for our review.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Amfac Mortagage
401 East Northern Lights Boulevard
99503
CIVIL - tiTRUCTURAL ,~.ECTRICAL, MECHANIC/''~- LAND BURVEYING
TECTONICS
INCORPORATED
ENGINEERS & SURVEYORS
Septic System Adequacy Test
S-103
I hereby certify that I have made an adequacy test of the existing septic
system on Lot 16, Block 2 DeArmoun Subdivision. The system was installed
in 1975 and consists of a 1200 gallon septic tank and drainfield. The
tank was pumped the last week of September 1980.
The test consisted of surcharging the system with 200 gallons of water.
The water level observed at the vent of the drainfield entrance resulted
in immediate absorption. The natural ground is very rocky with a pre-
ponderance of 12" cobbles in gravelly material. The entire 200 gallons
was absorbed in less than 10 minutes.
The percolation capability appears to be in excess 20 gallons per minute.
The system is functional and adequate.
~ Jam6s~. R6berts, P.E~
P.O. BOX 4-2265 ANCHORAGE, ALASKA 99509 (S07) 2'78-;~115
CHEMICAL & GE~.,.OGICAL LABORATORIES C. ALASKA, INC.
TELEPHONE (907)-27g-4014 ANCHORAGE INDUSTRIAL CENTER
274-3364 5633 B Street
Drinking water Analysis Report for Total C01ifbrm Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
I.D. NO.
~ .... ~.-.~,,~
SAMPLE TYPE:
r~ Routine
r'l Check Sample (for routine umple
with lab ref. no.
I-1 Special Purpose
[3 Treated Water
I-t Untreated Water
SAMPLE
NO.
I
I
I
, 1
I
LC)CATION
,, ~",, ("'~/
Time Collected
Collected By
1
TO BE COMPLETED BY LABORATORY
A~alysis shows this Water SAMPLE to be:
/,~ 'Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received ~' '~ -~
Time Received /5/,~ ..~.
Analytical Method:
n Fermentation Tube
J~' Membrane Filter
Lab Ref. No. Result* Analyst
READ INSTRUCTIONS
BEFORE
COLLECTING SA M PLE
06-]220
Rev.
BACTERIOLOGICAL WATER ANALYSIS RECORD
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Approval 'requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4.
5.
6.
y
Type of facility to be i~/pected ~y~¢~_, ~.t[~'. No. z)f bedrooms
.a 7'/- - t
Well Data:/~..
A. Jype~.
C. Construction
B. Depth /~z',2-/
Do Bacterial Analysis~~
Sewage Disposal System:
A.'Installed
~. Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Field:
{qu~-
B. Installer
Size /C~t~/ 2. Manufacturer
Absorption Are~a~s~n 9-~m*~. Material
Total length of lines
8. Distances:
A. Well to: Septic tank
Nearest lot line
, Absorption area
Other contamination
, Sewer Lines
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
\
, 'Q-034 (1174)
Page 1 of two pages
3330
GREATER ANCNORAGE AREA BOROUG)L.i
Department of Environmental Quality
/0.. oo/ d/
St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO
~2. Property Owner: )~,~r/~n~
Mai.lin~ Address:
-3~ Name of Buyer:
Mailing Address:
4. Name of Lending Institution:
Mailing Address:
5. Name of Realtor or.Agent:
Mailing Address: ~at~_
FHA CONV ~y~/~.~
Day Phone.?x/~/- ~ ~x/~/
VA
Day Phone
Phone
Legal Description:
Location: /~.~
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well /~Q~
9. Sewage Disposal System
Type of Systen~: Public Utility
If Individual, date of installation
No. Bdrms.
Individual (on-site)
EQ-037 ()/74) '/°~s-, .~c ~-
Pag~ 2 of two pages - Re~ for Approval of Individual ~ & Water Facilities
Lcga'l Description
Comments
Approval ~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I 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)
14a,y 1, 1975
File: 4-1
Sk~i~ Rmal~
320~ Slpep~rd Road
Anchorage, Alaska
99S03
ATTENTIOH: ,lea~
SUBJ£CT: Se~er ind water facilities Inspection for loan approval
Lot. 16, DGAmou~ Subdtvtsten
The subject property ~as tnspect~l on ~prtl 22, 1~75..The ~ter vel1
I$ satlsfacto~ and approved constructlo,.
The on-site star s~stem rill have to be upgraded I~y Instilling a new
seepage pti for ~e folio,ring reasons:
a) Life expentanc~ o~ seepage ptts tn Anchorage
averages 7-9 ~ears. The sut~lect s~st~m wes
constructed tn 1962.
'b) The o~ner his stated the s~stem must be pumped
four (4) tlms & ~ear utth · faintly tn restdenc~.
c) b o~ers are entitled to · se~er systam thaC
· c~n be expected to functte~ properly amd requtre
no pua~tng.
Znstillitim of · ney seepage plk or trench ts not. Ceulble at thts *.1me
due to $nov. Tht$ d~pirt3a~C ~ou14 gra~t t~mporar~ approval 11' funds
arm escrowed for construction. ~e n_-~aS$&l~ coGstruc~lo~ Bust be coB-
ple~ed I~ Guile 30, 1975 vtll be requested for ccmpletloo o~ cc~str~tctto,.
Sincerely,
L~ Buc~bolz, R.S.,
L~/ko