HomeMy WebLinkAboutDAV-DOR LT 8
~"'~ MUNICiPALiTY OF ANCHORAGE
t 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 REPORT
PHONE
· ~X'UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
I WeU [ Absorption area Dwetling PERMIT NO.
DISTANCE
TO:
I
I
Manufacturer Material No. of compartments
Liq. capacity in gallons I F HOMEMADE: Inside length Width Liquid depth
¢~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
Z
O Z ~ Manufacturer Material Liquid capacity in gallons
,,..=o D,STANCETO: We,, o Pou.da,,o ./ PE"M'TNO' I
-- ~ Total length o l' es
Length ol ea~/e O~L~ Trench width~:~ C~ inches Distance between Ii.es
Total effect~ e tion area
¢3~1" Topof tile to finish grade ~ ~/Z.. Malaria beneat tie '~.. inches
~1- Type of crib Crib diameter Crib depth Total ef fecti~e absorption area
Lu Well Building foundation Nearest lot line
e) DISTANCE TO:
-1 Class Depth Dril[er D~stance to lot line PERMIT NO.
m Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PiPE MATERIALS O ~/I '~ ~.~-
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED DATE LEGAL
724313 {Rev. 3/~)
PERMIT
8PPLICRNT R CHRTFI ELD
LOCRTION HENDRICKSON
LEGRL , LS DRV-DOR
SPA BOX l?lB-X
LOT SIZE
~4~-B191
25000 SQURRE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MRXIMUM NUMBER OF BEDROOMS
SOIL RBTING
THE REQUIRED SIZE OF THE SOIL 8BSORPTION SYSTEM IS:
DEPTH= 10 LE[-~GTH= 27 GRR%-'EL DEPTH=
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE E×CRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH I~ THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE E×CRVATION (IN FEET).
REQU I RED SEPT I ¢ TA~F( S I ~-~' E= 1000 GALLO~S
PERMIT APPLICANT HBS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTBLLATION INSPECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERYE.
TNO ( 2 ) I r~SPECT I Or~S ARE RE~.U I RED
B~CKFILLING OF 8NY SYSTE~ WITHOUT FINRL INSPECTION AND APPROYAL BY THIS
DEPBRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIYATE WELL OR 150 TO 2~0 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM 8 PRIVATE WELL TO 8 PRIVATE SEWER LINE IS ~5 FEET RND
TO 8 COMMUNITY ~EWER LINE IS ~5 FEET.
OTHER REQUIREMENTS M~Y 8PPL~. SPECIFICBTIONS 8ND CONSTRUCTION ~I~GRRMS 8RE
8VBILRBLE TO INSURE PROPER INST~LLRTION.
PERr~ I T E×P I RES DECEr~BER ~--~-l.- 1981
I CERTIFY THBT
l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORRGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THBT THE ON-SITE SEWER SYSTEM M~Y REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
RPPLICRI t~HRTFI ELD
ISSUED BY_-~ --~--d--~----~-~'--~'-~---DATE---?--~--~-'~---O~-/
V4. I;3
GRE ' ER ANCHORAGE AREA BO - UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME P~-/)E,~OFt ~O'''/ST~ MAILING ADDRESS /~01 ~', ,~3P..b PHONE "~.~"I~-- or'~ Z
LOCATiON~/C?(,"I)~/='.5~/~ ~-.,.~FF /~'rA LEGAL DESCRIPTION '~"/'~ ~',~-"~OZT..
SEPTIC TANK:
NUMBER OF
DISTANCEFRoM WELL'~'~/~' MANUFACTURER ~d0cJc. ~-~e~L MATERIAL ".~f~* ~ /"-' COMPARTMENTSf:~
__.....-- ~
INSIDE LENGTH. . INSIDE WIDTH LIQUID DEPTH '--'"' I IQUID CAPACITY/~'~q GALLONS.
SEEPAGE PIT:
NUMBER OF PITS I DIAMETER OR WIDTH ~ LENGTH 16 DEPTH
LINING MATERIAL~/'C~t~i /o~
BUILDING FOUNDATION ~'/ ,
CRIB SIZE: DIAMETER,~LDEPTH ("f DISTANCE FROM: WELL ~P,.~c.r .
~ / TOTAL EFFECTIVE
NEAREST LOT LINE ABSORPTION AREA (WALL AREA) .~ SQ. FT.
ADDITIONAL ABSORPTION
WELL: ~-Op
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
REMARKS
DISTANCES:
INSTALLED BY: ~
PIPE MATERIAL:
LOT SLOPE:
DIAGRAM Of SYSTEM
DATE ~L. I, Iq*'7-'/* APPROVED ~/'~,~t~ /J~.~l.t~'-~
G.A.A.B.
Form NO, eo-o31
~-~ ~. n'0u GReATer ANCHORAGE AreA Bor6ugh
~T[lfl II fl~ I' '~ ~ sz30 '*c" STR~T A.CHORAGE, ALASKA 99503
S~AGE DISPOSAL SYSTE~ ~ APPLICATIOH AHD PER~IT
PERMIT ~0.
· OTHER
FINANCED THROUGH //~~
so,L TEST .ESULTS J/--q/
COMPLETION DATE ANTICIPATED
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 ~'~ "" EEPAGE AREA
WELL TO SE~lC TANK Z~ / /~ /
TYPE
DIAGRAM OF SYSTEM
SEEPAGE Pit
/ /
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
;.:: 3' .'. '- "' "'
M.W :D,it",O.' ,.,.
P. O. Box 4-1224 · 1310¢ International ^i~:port Road
(907) 274-46] !
ANCHORAGE:, ALAStCa. 99509
'. DRILLING LOG
We~l Owner.
· Use of Well" ..... ....
Size of casing '
Static water level ' -' ft. (iib0~'&)
Screen ( ); Perforated (
Location (address of:. Township,' Range, Section, if known; or distance main road
Depth of Hoie I,I feet Cased to l,! feet
(below) land surface. Finish of well (check one) open end (
· );
(minute) for ! hours with
Describe screen or perforati.on"
Well pumping test at -" gallons per of drawdown from static level. '
Date· of completion -', :'.,.', 7,~ .- -'
· ' V/ELL tOO
Depth in feet from :'
ground surface Give details of formations penetrated, size of material, color and hardness
:'.'-r£r c': ~'~-- ~ ." c~.
ft.
.TO.
.TO ;'
".TO.
i'" .TO ' ':'
~' .TO
~? .TO. ,
~_'J['O
TO
."1'O
.TO
~__TO
TO
TO
3--CONTRACTOR
-.. .~g. ' APPLiO-~NT FILLS OUT UPPER HA['"~ONLY~
~lngle Family
~ Other
Water Supply
~ ~mm~lty For wells ~tlled prior to that data, give well depth (attach I~ If available).
~ Public Utility
8ewe~ Disposal
~ Holding Tank
NOTE: THE INSPE~ION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Inspector Inspecto¢ Inspector Inspector
,~ 0'0 ~ ~ ~ ~UNICIPA[~ OF AN~o~GE
I ~) APPnOVED ~DROO~S 'CONmT:ONSOF A~~ j' -~- ~
I I mSAPmOVED
( ) CONDI~NAL APPROVAL'
Soils Rating Date ~wer Install~ Well To ~sorptlon Area Well k~ Received
DATE RECEIVED
INSPECTION APPOINTMENTS
)ATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DEPT. OF H~ALTH
MUNICIPALITY OF ANCHOHA~E
~ D~PAHTMENT OF HEALTH l ENVIHONMENTAL PHOTECTI~I~oNMENTAL P: OTE~ION
ENVIRONMENTAL SANITATION DIVISION
'.l.~on' ~'20 RECEIVED
~EOUEST FO~ APPROVAL OF INDIVIDUAL WATE~ AND ~EWE~ FA~ILITIES
2. YER,
MAILING ADDRESS
MAILING
4. REALTOR/AGENT J J J PHONE
I
MAILING ADDRESS
TREET LOCATIOi~
6. TYPE OF RESIDENCE
~ SINGLE FAMILY
I-'1 MULTIPLE FAMILY
NUMBER OF~BEDROOMS
n~ One I--I Four
Two [-I Five
]~ Three [] Six
WATER SUPPLY
INDIVIDUAL·
COMMUNITY
[] PUBLIC UTILITY
I--1 Other
· A~I'ACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, g{ve well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE*' ~r~ YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY Sl4~ ;~J~._~Jor~ (~o--Jr I,~q~l'j
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
I-"1 ONE [~'~"THR EE I--] FIVE
[] TWO [] FOUR [] SIX
[] OTHER
2. WATER SUPPLY
[~INDIVIDUAL
[] COMMUNITY
PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[~DIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or r-'lHolding Tank
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
/
PERMIT NUMBER
DATE INSTALLED
Size: / 43o o If Tank is homemade
ive dimensions:
TYPEOFTANK MANUFACTURER_~_.~..~
MATE.,AL ~ ~
TOTAL ABSORPTION AREA
4. DISTANCES
WELLTO:
Absorption Area to nearest Lot Line
I 5. COMMENTS
DATE
[~'~APP ROV ED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (latter must accompany certificate)
[] DISAPPROVED
72-010 (Rev. 6/79)
REATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Approval 'requested by: ~.~
Mailing Address: _~ ~x I?/J ~
Date Received
Time 6f Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
-
~75~ Phone:
e
e
4.
5.
6.
Property Owner:
Mailing Address:
Legal Description:
Location:
Phone:
Type of facility to be inspected y)~ ~/~_~
Well Data:
No. of bedrooms
®
C. Construction F~A ~-~
Sewage Disposal System:
A. Installed
C. Septic Tank: 1. Size /~
D. Seepage Pit: 1. Absorption Area
E. Disposal Field: Total length of lines
B. Depth
D. Bacterial Analysis~~
/
2. Material
Distances:
A. Well to: Septic tank /¢¢/
Nearest lot line /~
B. Foundation to septic tank.
, Absorption area
Other contamination
*~ G I , Absorption area
, Sewer Lines/~
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - R¢~'~st._ for Approval of Individual .dr... & Water Facilities
'L~'l~scription
Approve~ /_J+~'c~
Approval ~Valtd for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
Disapproved
SVST
DIAGRAM OF .~ -
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)
UNWIN & $CHEBEN
CONSULTING ENGINEERS & SURVEYORS
103 E* 26TH AVE., ANCHORAGE, ALASKA
Ouly 4, 1974
(907) 272-8911
272-6015
Ms. Susan Dtckerson
Department of Enviromental Quality
25D0 Tudor Road
Anchorame: Al,sk~a 9~9507
Dear Ils. Dtckerson:
Submitted herewith for your review and recommendations are the following
items:
1. Test hole logs from pits on lots 2, 4-8.
2. I.lechantcal analysis on a composite sample from pits 6, 7, and 8
indicating a nonfrost susceptible gravelly sand.
3. An overall plot plan for Dav'Dor S~bdlvision showing the proposed
location of all improvements including the water well and septic
system.
L~e request you review on the above items and recommendations for sizing
on-site spetic systems for 2, 3, and 4 bedroom homes. Please call if you have
any questions on the above items.
Ye_fy truly~j~ours,
Associate
EDK/mk
Enclosures
GORDON D. UNWIN, P.E. LEO SCHr"BEN, JR., P.E., L.S. EARL D. KORYNTA,
Iii.
DICKIN'SON OSWALD & PARTNERS
November 3, 1971 ~
Greatlr Anchorage Area Borough ~~IL---~0
Department of Environmental Quality / '
3500 Tudor Road '~
Anchorage, Alaska 99502 ~
Atln: }~. Rolf Strickland~
Re. Day-Dot Subdfvision~
--Soil's Logs '~or On-Site Sewage Disposal and
Potable Water
Gentlemen:
Last Friday, Mr. Dale Nelson met with you on the above-referenced
subdivision to discuss your letter of October 22, 1971.
At present, there is a well located within the subdivision 27
deep (hand dug with 36" diameter easing) that has been in constant use
since 1962. Also, there are three wells within the immediate area for
which the U.S.G.S. has listed pumping rates of 5 to 12 gpm.
Mr. Nelson also discussed the fact 'that the two test holes taken
for on-site sewage disposal purposes are representative of the soils
within the subdivision. This is further verified by the well which is
in gravel the full depth. On the west side, gravel has been encountered
during the construction of a roadway.
We hope the above will provide sufficient data to approve this
sub-division. If there are any questions, please give either Dale Nelson
or myself a call. We would like to get this resolved prior to Friday
in order to file ~n,the.District Recorder'a~.Office.
Eruly yours,
SON-OSWA~ & PARTNERS
LED:Jp
HAND CARRY
October 5, 1971
DiCkinson-Oswald & Partners
800 Cordova Street
Anchorage, Alaska 99501
ATTENTION: · Mr. Maurice Oswald
SUBJECT:
Soils Classification/Dickinson-Oswald
Projects 4738, 49'65, and 4959
Gentlemen:
Following are results of visual classification of soils samples
delivered to our laboratory October 4, 1971 by personnel of your
office. In recent discussion with Mr. Dale Nelson, depths of
samples were relayed and he stated that no water table was inter-
cepted in any of the test pits.
¥;e note that the'depth of test pits Should be on the order of
ten to twelve feet for more meaningful results as the bottom of
seepage pits are commonly at that depth.
In addition, thickness of soil layers should be noted for later
use in sizing actual seepage areas.
Depth Initial
Project Test Sample of Lab Visual
'Number Hole Number Sample Class.
Unified Sq.Ft./
Class. Bedraom
4738 1 1 6.5 Brn.Gravelly SW 125
0Q%~ % Sand
· o.o "" ', " "
~-, '~ i J:'¢~'~' 2 1' 6.0 Brn. Gravelly ML 275
' Sandy Silt
4965
2
3.0 Brn. Sandy GW/GP. 85+
Gravel
9.0 " " " " " "'
2.0 " " " " " "
7.0 " " " " " "
Trace of SJ]t
4959 ¢ 1 1
,;..E' ¢.,'1.., 2
Sincerely,
~taff Engineer
3.0 Brn. Silty Sandy G?! 225'
· 8.0 Gravel GM 225
FROM:
GREATER ANCHORAGE AREA BOROUGH ,~ Z_.__~
TO:
DATE ANSWER
REQUESTED:
REQUESTED ACTION SCHEDULE
FOR INFORMATION ONLY JJ" NEEDPREPAREyouRBACK'UPREcOMMENDATIoNINFORMATION
FOR IMMEDIATE ACTION J~ CALL ME BEFORE YOU ANSWER
FOR YOUR CONSIDERATION t'
011-1ER
~ ....... .'~j'~.~.,,_ .... /~,:~___-.~..~_._, ....... ~,.,,~_,, ........ ~.,.~ '~,.~.
.......
~ ..... ~~-~ ............................................................................
~.(EATER A~ICIiORAGE AREA
104 West l;orthern Lights l~oulevard ~:z_
Anehora£e· Alaska 99503
Plat Status: Final
Date; Aug. 16, 1971
BOROUGH: Engineer
Public Works Department
Sand Lake Fire Department.
School District
Street Dam~s
Tax Assessor
A/aska Department of Eighways
Alaska Railroad
Anchorage Natural Gas Corp.
Central Alaska Utilities
Chugach Electric Association
Alaska Department of Fish & Game
CITY OF ~IO;ORAGE: Fire l~rshal
flunicipal Light & Power Dcpartmen~
Property tl~nagement Officer
Public Works Department
.Telephone Utility
Traffic Engineer
Water Utility
GAB Teleco~unications, Inc.
Matanuska ElectricAssociation
Hatanuska Telephone asocia;ion
Assistan~ Superin~endent of flails
Subdivision
Description of Property:
Dav-Dor Subdivision
Owner;
Mr. & Mrs. David Hendrickson
Gentlemen:
Petition has been received by the Greater Anchorage Area Borough Planning
and Zoning Commission for the proposed ~,,bdivi~ion of subject property.' ........
Attached is a copy of ~e proposed plat. Will you please submit your
comments in writing~ specifying any easements or other requirements that
your department or agency may need.
If we do not hear frcm you by Sept. 3, 1971
you do nor wish to cubm.!t any comments.
· we will assume that
If you have no further use for the attached print· please return it with
your COn,neats.
Planning Department
Enclosure
'o : 6
- 19,795
7
22,297
2§,?62
4
22,309
.r- T-L4P'-
I
:
[ ', 25,767
IlS 12
2 I
19,7;~$ 19,7:',4
(De Hart Ave)
104t~
ez
.,SURVEYOR'S CF'RT;
I, the undersigned rt