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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