HomeMy WebLinkAboutELMORE #1 BLK 5 LT 155 018 172 OI ~ 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 REPORT PHONE ~ [] NEW NAME MAILING/ADDRESS LEGAL DESCRIPTION NO. OF BEDROOMS4 I Well I Absorption area Owe[ling PERMIT NO. DISTANCE TO: Manufacturer Material No. of compartments Liq. capacity in gallons IF HOMEMADE: I Inside length Width Liquid depth DISTANCE TO' I Well I Dwelling PERMIT NO. Manufacturer Liquid capacity in gallons DISTANCE TO: Well /0/' NO. of hnes ,~--~ Length of each me~/t Top of tile to finish grade /,, ~.. / Depth Material Nearest lot hne ~? ~ · Trench width I Length PERM'TNO'g?O3/ Total effective ab$orp n area PERMIT NO. Type of crib Crib diameter Crib depth Total ef fectwe absorption area Well Building foundation Nearest lot line DISTANCE TO: Depth Driller D~$tance to lot bna I PERMIT NO, DISTANCE TO: Building foundation Sewer line Septic tank I Absorption area(s) OTHER P'PE MATER'ALSp V~. SOIL TEST RATING APPROVED DATE LEGAL l. I PERMIT ~0. I~UNICI~BLITV OF 'DEPBRTMENT ~ HEBLTH AND ENVIRONMENTBL ~20TECTION 825 'L' STREET~ BNCHORAGE, BK. 99501 2~4-4720 Otq--~ I TE SEWER PER[FlI T 830~1~ > BPPLICR~IT DANIEL RYERS LOCATION ELMORE RORD LEGRL · L i B 5 ELMORE S?D 345-~082 LOT SIZE ~9~99~ SQUARE FEET TYPE OF SOIL BBSORPTION SYSTEM IS: TRENCH 14BXIMUM NUMBER OF BEDROOMS = 4 SOIL RBTING <SQ FT/BR)= 85 THE REQUIRED SI~E OF THE SOIL BBSORPTION SVSTEM IS: DEPTH= 8 LENGTH= 4~: GRA%~EL DEPTH= 4 THE LEHGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRBI~IFIELD. THE DEPTH OF B TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFBCE OF THE GROUND BNO THE BOTTOM OF THE E×CBVBTION (IN FEET>. THERE IS NO SET WIDTH FOR TREHCHES. THE ORBVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFBLL PIPE 8ND THE BOTTOM OF THE EXCBVBTION (IN FEET>. REQU I RED SEPT I C TRNK S I ZE= 1250 GRLLON--'i:; PERMIT BPPLICBNT HRS THE RESPONSIBILITY TO INFORM THIS DEPBRTMENT DURING THE INSTBLLBTION INSPECTIONS OF 8t.lY WELLS 8DJBCENT TO THIS PROPERTY BNB THE ~IU['IBER OF RESIDENCES THRT THE WELL WILL SERVE. T~O ( ~ > INSPECT I 0~ 8RE REQU I RED BRCKFILLIHG OF BNV SYSTEM WITHOUT FINRL I~ISPECTION B~ID BPPROVRL BY THIS DEPBRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTBNCE BETWEEN B WELL BND 8NV ON-SITE SEWBGE DISPOSBL SYSTEM IS iOE1 FEET FOR R PRIYRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPEHDING UPON THE TYPE OF PUBLIC WELL. HINIMUM DISTR~ICE FROM B PRIVBTE WELL'TO B PRIVRTE SEWER LI~E IS 25 FEET BND TO 8 COMI'1U~IITY SEWER LINE IS ?5 FEET. OTHER REQUIREMENTS MRY BPPLY. SPECIFICBTIONS Bt. ID CONSTRUCTION DIBGRBMS RRE BVRILRBLE TO INSURE PROPER I[ISTRLLRTION. PERM I T E×P I RES I CERTIFY THBT i: I BM FBMILIBR WITH THE REQUIREMENTS FOR ON-SITE SEWERS BND WELLS RS SET FORTH BY THE MUNICIPBLITY OF BNBHORBGE. 2' I WILL IHSTBLL THE SYSTEM IN 8CCORDBNCE WITH THE CODES. ~: I U~IDERSTBNO THaT THE ON-SITE SEWER SYSTEM MBY REQUIRE ENLBRGEMENT IF THE RESIDENCE IS REMODELE~ TO INCLUDE MORE THRN 4 BEDROOMS. SIGNED: RPPLICBNT ISSUED BY-, ~-~ DANIEL BYERS .......... V4. O PO'... , ':t 6-650 ANCHORAGE. ALASKA 9r~502-0650 (907) 2,64.4111 DEPARTM[NTOF HEALTH AND ENVIRONMENTALPROTECT;3N ~Permit ~: 821036 .January 31, 1983 TO: Permit Applicant Subject: Lot 1 Block 5 Elmore Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RcP/ljw enc: Copy of Permit SWP/057 MU~ICI~LIT'~" OF I:INCpRAGE DEBARTMENT'.~ HEALTH AND ENVIRONMENTAL , .OTECTION · ' ,'' 825 'L' STREET~ ANCHORAGE~ AK. 99501 ,, · 264-472O Ot~--~;ITE ~;ElqER PERMIT ( 8210~6 > DANIEL AYERS LiB5 ELMORE PERMIT NO. APPL I CANT LOCAT I ON LEGAL SAR BOX 300 99507 274-~7§1 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RRTING (SQ FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= S LENGTH= 4:~: GRA~.,~EL DEPTH= 4 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 SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS ~0 SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REQUIRED SEPTIC TAhlK SIZE= '1250 GALLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ------ TI-lO ( 2 > I hI~PECT I Obis ARE REQU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND Ri'lY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS ~5 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET, OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERMIT EXPIRES DECEMBER :3:-1, '1982 I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. ~: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3; I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE~S REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. , .... 7 ....... ........ . PERFORMED FOR: LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl- PROTECTION 1~/5 L. Strlet. Anchm'lgao Alaska ~9501 264-4720 SOILS LOG I-1 PERCOLATION TEST SOILS LOG - PERCOLATION TEST DATE PERFORMED= 5--- 1 2 3 4 5 6- 7- 8- 9 SLOPE SITE PLAN 10 11 12 13- 14- 15- 16 17 18 19 20. ENCOUNTERED? WASGROUNDWATER DEPTH? Gross Net Oe~th to Net Reading Date Time Time Water Dro~ PERFORMED BY: /' ~ h'/ CERTIFIED S~ ' PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT 72-008 (6/79) ALASKA ENVIRON ,~NITAL CONTROL SERVIC. INC. · . 1220 West 25th Avenue Suite B ANCHORAGE, ALASKA 99503 276-1361 279-2917 SHEET NO. OF CHECKED BY DATE ALASKA ENVIRONMENTAL CONTROL SERVICE'-'INC. · 1200West 33rd Avenue Suite B · ANCHORAGE, ALASKA 99503 Phone 276-1361 JOE LOE / ~zocK~'- £Lr,~ s/,~ CHECKED BY DATE i I I ALASKA ENVIRONMENTAL CONTROL SERVICE"'~NC. 1200 West 33rd Avenue ouite B · · ANCHORAGE, ALASKA 99503 Phone 276.1361 CAt. CULATEC BY ~ CATE CHECKED BY DATE ECALE ALASKA ENV IRON~ENTAL CONTROL SEP. VICES, 1200 ~ST 33~ AVE.,~ ~TE . ~CHOEAGE, ~ P~ONE 276-1361 BEIOw ~ROUND' SURFACE. AT.'_ALTHICK,NESS,-.OF-.-1-~IN,CH; --:. . i-~ . , . , ; 2,'. _C OAT_BOT-TOM ~,- FEET~_INSIDE_~IT.H,_BITUMASTIC--PAINT--.: I' USE -.f~ OR [t !,~.~C_IEX!B ,LE+H.0SEwrr-o.-J~I-T-PJJHP-~,--f---~--~-~ RI:E ~PJF_C[FJCATIONS FOP. NIA'rERIAL5.~ . ..~-, .-~--h---~ , :.1 I F=T._L.STAT_IO l~ ]' ~' I ) t FILLET ' . pUMP R-CORD ' I TAL CAP EOA1,4 i AROUND NIPPLE J ALASKA Ull OlllllelllAL COI1TI OL S JIC S, IllC. SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM- LOT lF BLOCK 5, ELHORE SUBDIVISION 1.0 1.1 Tl~ DRAWINGS, SHEETS I THRU 4, SHALL BE A PART OF THIS SPECIFICATION · 1.2 ALL HATERIALS AND WORKI~SHIP SHALL NEET THE REQUIREHENTS OF ~NCNORAGE DEPART~NT OF HEALTH AND ENVIRONNENTAL PROTECTION PERMIT AND THE ALASKA DEPART~fENT OF ENVIRONHENTAL CONSERVATION REGULATIONS. 2.0 THE LIFT STATION 2ol THE STOCK HATERIAL FOR THE LIFT STATION SHALL BE EITHER GALVANIZED STEEL (ASTH A-4444-76), OR ALUMINUM CULVERT, CAPABLE OF B~IAL TO 10 2.2 T~ 2&" PIPE FOR THE LIFT STATION SHALL HAVE A S~LDED WATER TIGHT BOTTOM OF Tl~ SAM~ COMPOSITION AS CULVERT, 2.3 ALL PENETRATIONS OF TH~ LIFT STATION SHALL SE ~LDED AND WATER TIGItT. ALL ~LDS SHALL BE CLEANED OF SLAG. WELDS ON GALVANIZED STEEL WILL BE S?RAYED WITH ZINC RICH PAD;T O~ COATED WITH BITUNASTIC. 2,& THE TOP CAP SHALL BE RAIN TICHT AND SECURELY FASTENED WlTR $CRL~S. 2.5 ALL ELECTRICAL FITTINGS ARD CONNECTIONS IN Tl~ LIFT STATION SHALL NEET Tl~ REQUIRENENTS FOR A WATER TIGHT SERVICE. 2.6 T~RE S~,LL SE A HIGN LEVEL ALAI~ SET AT TI~ LEVEL OF TItE SOIL PIPE FROM T~ SEPTIC TAN£. THE BUZZER SHALL BE LOCATED NEAR ~ ELECTRICAL CONTa0L PANEL OR IN A LOCATION DESIGNATED BY THE ItONEO%~NER. 2.7 TH~ SUMP PU~P SHALL BE CAPABLE OF DELIVERING 10 GPM AT A HEAD OF 20 FEET. 2.8 THE SUMP PUMP SHALL BE SUSPENDED HOT IESS THAN 6 INCHES OFF ~ BOTTOM OF THE LIFT STATION WITH A CHAIN OR NYLON LINE. 3.0 SEEPAOE BED 3.1 THE GRAVEL FOR THE BED S[L~LL BE SCREENED TO THE SIZES INDICATED. 3.2 THE SAND SHALL HAVE AN EFFECTIVE SIZE OF 0.& TO 0.6 AND A UNIFORMITY COEFFICIENT OF NOT HONE THAN 3.3 THE SEEM AROUND THE SEEPAGE BED SHALL BE CONSTRUCTED OF I~ERMEABLE HATERIAL, AND ON A SLOPE OF I FOOT VERTICAL PER 2.~ FOOT HORIZONTAL. 3.& THE BOTTOM OF THE EXCAVATION SHALL BE RAKED ~ITH THE BASF, HOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR NINUS 3.5 AN OBSERVATION PIPE SHALL BE PLACED AS SROWN IN THE DRANINGS. IT SHALL BE RIGID PVC, ASTH 3033 D-3034. THE SECTION SRO~N WITH HOLES HAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF ~ PIPE OR A REGULAR SECTION OF REGULAR PERFORATED SE%~ER HAY BE CLAHPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN-CAP (JINCAP OR EQUAL) SHALL BE PLACED ON THE TOP OF THE PIPE. 3,6 IF INSULATION IS REQUIRED THE INSULATION SHALL BE DOW EXTRUDED BLUE STYROFOAH BOARD OR ARCO GEOFOAM EMBANI~tENT INSULATION BOARD OF THE THICKNESS SBOWN ON TIlE DRAWINGS, 3°? "rite TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIXo ~.0 PRESSURE SEWER ~.1 THE PRESSURE SEWER SHALL BE 2 INCH POLYETHYLENE OR PVC PIPE EU~IED TO THE DEPTH AS SIIO~N ON SHEET 44. 5.0 ALTERNATE LIFT STATION 5.1 A COP~[ERCIAL PACKAGE CONSISTING OF A 1/2 liP EXPERT CHROME FLUIDS PU~ AND SIHPLEX 30 GALLON TANK HAY BE USED. 5.2 THE 36" CULVERT STOCK SHALL MEET THE REQUIREMENTS OF PARAGRAPH 2 AS APPROPRIATE. GRE?"'R ANCHORAGE AREA BOk" H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME/'~, ~ ,~,~:~/:~-~','"~' MAILING ADDRESS _~,-V,~'/.~_ ...r'~/-,,~/.,~/ ..~-.,.,~'. PHONE-.~,~"-'~;,~// LOCATION~-,r~'"·'e~"~'~P~'~'~'~'"~o .,.~'/"---'~;~' . LEGAL DESCRIPTION ~'~'~'~"~"~ '~"--~'~""~'~'-'~"'J"~'~=~ff ~"'-~ SEPTIC TANK: DISTANCE FROM W E Lt,~'~'~'~ INSIDE LENGTH f~--~-/',~'~ NUMBER OF MANUFACTUREP,~-.r~P',/~/~'~-/-'~ MATERIAL ~--~-~./~"~'~ COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/~"'-~'~'~GALLONS. TILE DRAIN FIELD: /~-~'/~/~'~'~. TOTAL LENGTH //-/'~" DISTANCE FROM WELI./~.-'~'~''' FOUNDATION~'~'-'-~''''-4~)/-' NEAREST LOT LINE~/-~ ~"~ OF LINES ~'"' NUMBER OF LINES ~ DISTANCE BETWEEN LINES f / TRENCH WIDT~ IN. TOTAL EFFECTIVE ABSORPTION AREA 3 ~ ~ ~ SQ. FT. LENGTH OF EACH LINE ~'-~-' '~'*" / ~ /~ / DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ~"~/~'" MATERIAL BENEATH TILE ~ IN. ABOVE TILE IN. TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEPTIC SEWER LINE TANK REMARKS DEPTH SEEPAGE SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL= LOT SLOPE: ~'~/~'"'~- //~.'~'"~/.~7-~'- REMARKS: Form EQ-032 GREATER ANCHORAGE AREa BorOUgh p~RMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION SOIL TEST RESULTS /~ 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. ~INIMU~ DISTANCES, FOUNDATION TO SEEPAGE PiT $EEPAGE PIT WELL TO S~PTIC TANK ~ DRAIN FIELD GRAVEL DACKFILL SEEPAGE AREA SIZE TYPE~ DIAGRAM OF SYSTEM DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, {~O',IG.H 3Y7 EA.IL~ "IRFET CAS/. · ~¢,~'O'<-~ '::' AL.t: .".A 93591 Pcrfcrr~ed For ~. W. Wotver](~,~ .rate · .. .. leer The soil conditions in this area are Some- what erratic. Th ere ~ere some erratic ~1 and pebble bodies pre- ~ent, but the predomi- nance of the ~edlments w~re l.ocart on Sketch. Was Grouno ;fa!er 1.~ 'les, Fedd.; nF, Depth To :let . .,. - -. ~, .~,.~ .~1~1~.. . ." ..... ~ '. ~ . ' ~ , ' -. WE SERVE AL~ ALASKA ; .~ . ,~'~ * ~ ~ .. . ~TOFf~~ ~.~ -, .~' · ~_ ~~ ...... ~-~. "~ ~. ~.l ~ ~..~, 0 0 ... ~-..~ ~.L. ..................... , ............ . , .* ' ".,./ ~]. '-~ ~/ '. * GA~:~ER~-~'~-;'"~:~'~ · ' n~T~-- ~AR~ ~.~ ................................. ~ - ..... ~ . . ~ ........ :. ................................~ - .~- .,. ~_.~ .... / · .. ,A~- ~u~, .... ~-- ~~~~. ~ ~: . ' ~ .... L~:. -- ,,'~.. .. ' :." - .-~ ............. ~" , ~ "" · . ~ . ~ ...', -. ..... ~ ' --o1,'.', ~-.~-~'; ..~o~ ........=.-- . ._. ,.. .~' --., .... ...... ~OM.~.....~.~O.~ ......... tx , '~ ,, I .~ ~5~.x~ .- . ~ ........ ; ................ , · ~.~, /~ ~. TO ...~ ............ r~ .................. ~ :2}i~ . .~,? ........ , _ ~ . , / ~' ~= ..... ....~0~ -- .... . ...., ~ ~', .. ~. ~: ...... ~.-~.-~'.~ ~, .~r ..............r"*' ....... · - ".~ ' -f' ..................... 7' · ' ~ : .... ~ ......... ~ . ~ . . - · - .o. ................ · - . - ~-,, / 2 ~ TO...,:.,: ....... ~.~"'"""- ~ · ~ . · ?~. ~.,.~.. r, , - ./ ~ · . ~'. ' ~ .. i .~OM ....... : ...... ~'TO""r~'~ ~ . .. ",~ ~. ',~ ~n :._.~ ....... ~..~ ............ ~ ....... I . . .". . *-~. ~...~.~. ............... ., · ~_ .~ . · ' ~' ~,. I/I ~ ~.TO.-:: ............... ~.-'~'"'"~"""~"~ .... { · . -.~ .... ' ,. ,' .- {,. .~'~/~ ~ ' ~'~ {~' FROM.~,~ ......... ~'~----~ · ~, .. '.. , ..~u ~ ~ ~.TO ................~'" , ...~ .... · ~ ~ · .' · _ · ~ } ~OM .......... ~.~.TO~ . . ...,';~;~-~ '- '" ' ~ .~ .... ~.2 ...................... : { .... ' ' ~ ..' ''t". ; -., ' :': '~ :." ' . -~ .~'~ ~OM ............. r,.-- ........... ~' { ..c.' .. - · . I FROM ....... ' ~., ,~' ' ' _.. ~ ~ ..... ~ ........................ · -I ' ,,:.... .v..,. ~, . ~ .......... ~ FROM ................. ':c"~::~.'. ,- ...~...:?.,.. ;,.,. ' ',". :.:~, ~.TO ................... r~ .................... , . :~;> · : ~, ~,* , . -- ,. ¥" ' FROM .............. r ~ .-~ ................... CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION. PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction of l' )'' ~ I [] approved. ,. ~'. ~ .,~ ~ c I ~ , public water system I~at~ ' . Alaska. submitt~ in accordance with ]8 AAC ~.]~ ,~ , ~.ll~, ('~,.,~,~' ~- ~nreview~andare conditionally approved (see attached conditions). ,/., ,, ~ (' .-".,.,...~,_ ~t/~' Il f iBM TITLE OATE If construction has not started within two years of the approval date. this certificate is void and new plans and specifications must be submitted for review and approval before construction. ~PPROVEDCHANGEORDERS Change Icoetrl<:t oraer no. . Approved by Date The "APPROVAL TO OPERATE" section must be completed before any water is mede available to the public. APPROVAL TO OPERATE The construction of the 1!)'~ ~ [ pUOIIC water system was completed on '~' ( ) t r ~ , j ,, /c;f -~ -~ (date). The system is hereby granted interim approval to operate for 90 days following the cpmpletion date. BY TITLE bATE As-built plans submitted during the interim appr~)val period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted final, approval to operate. / T"":' -r~.- // ,~.,,..,.--' /- ~. . . ._. ,-- ~: -TFT ',. --:~'I ALASKA CJIFiOFIIllI I1TAL corlTROL .IT'ICt S, IRC. ~nclin¢¢Hn~l ~ ~nuironmcnlo] $m~i¢~ ~ay 2~, 1983 Department of Environmental Conservation &37 g Street Suite 201 Anchorage, Alaska 99501 Atto: Bruce Brlckson I~uNICIPALIT~ OF ANCHORAGE I)I~PT. OF HEALTH & [.NVIRoNM,SNTAL pROTECTIOI"J 273 ECEWED On behalf of Hr. Dan Ayers ve are requesting a Waiver of Septic 150 ft. distance of comaunity Class "C" Well On Lot 1 Block 5 Blmore Subdivision to 100 feet. Due to the rise of groundwater, a shallow septic system is required on the above ~entloned lot. As per the attached soils report (Nay &, 1983), groundwater was encountered at 6 feet below the ground surface. The existing system vas installed in 1973. The bottmn of the leach area was placed at 8 feet below ground level. This has resulted in a flooding of the system and concurrent back flow into the residence. Repeated pu=plng of the septic tank only resulted in a temporary delay of the backflow. On a temporary basis, the tank has been disconnected fro~ the ezlstlng leach area and converted to a holding tank. The usable area for the proposed system is restricted by the proximity of I) Rabbit Creek (South), 2) lot line and neighboring septic system (Bast), 3) a.steep cut bank, (> 251) ~hlch slopes towards the property and existing septic (North), and, &) the cou~uuity veil, vhlch serves the residence and eastern neighboring & bedrov= home on Lot 2 Block 5 Elmore Subdivision (North). The veil was drilled in 1973, with no records or veil log to document depth, strata, etc. The veil is indicated to be 140 feet deep and cased to 60 feet. Logs for veils in the vicinity range in depth from 144 feet (Lot 18, Block 3 Blmore Subdivision), 163 feet (Lot 1, Block 7 Blmore Subdivision). Strata is indicated as gravel, vlth some clay encountered at 25 to 142 feet (Lot 10, Block 5 Elmore $ubdlvislon), ?0 to 128 feet (Lot 18, Block 3 Blmore) and gravel-clay mix at 44 feet (Lot I Block ? Bl~ore). The water vas sampled Hay 10, 1983 and found to be satisfactory (report attached). The proposed system is · shallow bed design, 21 feet by 43 feet, 900 square feet absorption area, installed at a maximum depth of 1.8 feet below ~rouud surface. The OL layer will be excavated do~n to the gravel layer, then filled vith 150 sq. fl/bedroom sand to 1.8'. A self contained llft station (per attached schematic) and viii be connected to the oeptlc tank. It is expected that the leach area will be installed at a full 100 feet distance fr~ the creek, ~10 foot separation from the lot llne, ~30 feet from neighboring septic system, and amximizing the remaining usable area. The bed, septic tank and llft station will be installed such that maximum separation from the veil is observed, and will not be vithln 100 feet of the veil. c The waiver is to allow for the establishment of the shallow system, at proper separation from the ground water, and ellmate the temporary "holding" tank situation on the Lot. If this office can be of further assistance in this matter, please contact us at 276-1361. iE Sincerely, Larry Nontgomery ~ ,- J DATE RECEIVED ... INSPECTION APPOINTMENTS ~.~.q TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHO~GE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT.  825 L Strut · Anchora~, Al~a ~1 [~[RONMENTAL p~,OTE~ION ( ENVIRONMENTALSANITATION DIVISIONSEP 2 1 1981 Tete~one ~7~ MAILING ADD.SS PROPERTY ~SIDENT~If differe~ fr~m abo~) ~ / .... P PHONE B YER MAI~ING ADDRESS ' ~ MAILING ADDRESS MAIM~G ADDRESS 5. LEGAL DESCRIPTI.QN STREET LOCA]'ION S. TYPE OF RESIDENCE NUMBER OF~BEDR~MS E] One ~ Four  SINGLE FAMILY i'-I Two [~ Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATE P~ ~;UPflLY [~ INDIVIDUAL' * ATTACH 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 UTI LITY depth (attach log if available.) 8. SEWAGE DtSPO~AL SYSTEM [~ INDIVIDUAL/ON-SITE" ! ~ 7~' 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 [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY i'-I INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified [] Septic Tank or t-'l Holding Tank Size: f.~_~'O If Tank is homemade give dimensions: NUMBER OF BEDROOMS . , [] ONE [] THREE I-'1 FIVE [] OTHER [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA 4. DISTANCES WELLTO: Absorption Area to nearest Lot Line MATERIAL Septic/Holding Tank~ Sewer Line JNeares! Lot Line 5. COMMENTS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE I BY 72-010 (Rev, 6/79) ALASKA eI UIROFI eI TAL COFITROL SeRUICeS, II'lC. ~n~jin~rin(J ~ ~nui~onm,nt~J S~i~s lo/2/8~ J~UNICIPALITY OF ANCHORAGE OEP[. OF HEALTH & ENVIRONMENTAL PROTECTION OCT 6 1981 RECEIVFD AD ~.T. SRA ~OX 300 ANC~DRAGE AK 99507 Sw,L'~"R - A D SU~Drv/SION-]~J~OR~ ADEQU;~Y TEST FOR SE~'~{ SYSTEM THE T~PE OF ABS(IRPTION SYST]D4 IS A DRAINFIFrn WITH AN AREA OF 300 SQFT. THE SYSTEM IS CAPARrR OF ACL3fa'Z'ING 600 GALLONS OF WA'r~.~ P]~ DAY. THE SURGE CAPACITY OF THE SYSTEM IS 567 GALLONS. BASED UPON T6E TEST DATA THE SYSTEM IS ACCEPT~Rr.~. FOR A 4 ~:']RfXiM ~ME. THE SEPTIC TANK WAS PUMPED CN 10/18/80 . ~TIC TANK AD~QU~L~Y EXISTING SEPTIC TANK VOL[~E OF 1350 IS ADEQUATE FOR ~ UJcst 25th ~ucnue · Ancl~oraqe, Alad~a ~503 · [907) 276-1361 #1: __ MUNICIPAliTY OF_A~I~7.1:I~RA~F.% DEPARTMr~ OF HF~F~H~VIRONME~ ~. PROTECTION · 82~--'L St~, Anchora~./~Alas~a~ 99501 /~. ~ . D~%Re~ived:/D~e~er 28, 1977 Date ,-t/-~ ~D~ ~ '~t~ / Date __--- ' REQUEST FOR APl ~VAL ~F I~~ SEWER ~D WATER FACILITIES Lending Institution Request: Alaska National Bank of the North Mailing Address: 3301 C Street, Calais II Phone: 278-4581 2. Property Owner: Don Sa¥1ors Mailing Address: Star Route A Box 300 99507 Phone: 344-6740 3. Legal Description: Lot 1 Block 5 Elmore Subdivision %1 4: Single Family Residence: (x) Number of Bedrooms: Four Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit ~ Construction Individual well (x) Community/Public System ( ) Depth of Well Well Log on File Bacterial Analysis ( ) e e Sewage Disposal System: On-site System (x) Permit ~ Installed 1973 Septic Tank Size /~"~ Manufacturer Absorption Area ~4 Soils Rate g~' Distances: Well to Septic Tank to Sewer Line Nearest Lot line Public Utility ( ) Installer ~ Mat erie 1 ~&~___ to Absorption Area Absorption Area to Nearest Lot Line ,, 3 :~. '.: 'Departmen~ -oft'~]ealth '.and: Envlr0nmental 3Protecti6n. .. '"_,~,dr~-~_ .'>x, . .. ~ - ~ .... , '//~)~ 825 L Street, ~chorage, Alaska · 9950 ", '" %~uest ~or ~rovaZ o~ ~n~via~a~ Sewer .~a Property Owner: Mailing Address: Name of Buyer: Mailing Address: Phone:~/3-~/7. e Realtor/Agent: /~_~ Mailing Address: ~---~ / Se e Legal Description: Street Location: Single Family Residence: Multiple Family Residence: Number of Bedrooms: ( ) Number of Bedrooms': e Water Supply: *Individual Well ~0 If Individual Well, well depth ~ If Community System, name of system Sewage Disposal System: On-site System · (~) If On-site System, date of installation: Public/Community System ( ) Public System /~?~, () *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 1 Block 5 Elmore Subdivision #1 Comments: Affadavit Attached Approved Disapproved: Letter Attached: ( ) Date: Department Worksheet: JML John M. Lambe, P.E. January 9, 1978 4303NorthS~rS~t Anchorage, Al~ka, 99503 907-279-8056 344-8042 Don Saylors SRA 300 Anchorage, Alaska, 99507 Subject: Adequecy Test- Lot I Block 5, Elmore Subdivision Dear Mr. Saylors, At your request, the writer performed the following test in an effort to evaluate the adequecy of the existing leach field. The records on file at the Municipality of Anchorage Dept. of Environmental Quality indicate that the system includes a 1350 gal. Septic Tank, 100 L.F. of 4" perforated pipe with a 5' header~placed in a 36" wide trench in October of 1973. The soils information on file indicates the native soils to be sandy gravel (GM) rated at 85 ft2/bdrm. The 4 bedroom house would then require 340 ft2 of absorption area, however the records indicate that the system was originally approved at 300 ft2. Mr. Saylors reports no problems with the system, and no reports of such were observed in the file. On J~nua~y 6 & 7, 1978, the writer pumped metered amounts of water into the system, at an average rate of 10 gpm. The septic tank was reported to have been emptied on Jan. 5, 1978. Therefore, it was neces- sary to fill the tank before testing. Mr. Saylors was instructed to run tap water into the system in addition to the household normal use before the test. On January 6, 1978 the writer pumped water into the septic tank with the following results: Depth below top of Meter Reading Septic Tank Vent (Gallons) 9'-91/2" 32368 9'ml 1/2" 32510 8'-6 1/2" 32670 7'-3" 33000 6'-6 1/2" 33204 6'- 1" 33298 page one Gallons Pumped Time (Net) 0 10:08 142 10:18 302 10:28 632 10:48 836 930 111:28 Don Saylors ' ~age two ~anuary 9, 1978 The static level of the Septic Tank was assumed to be 6'-1". Mr. Saylors was instructed to maintain normal use of the system to saturate the leach field. With 5 persons at 75 gpcd, 375 additional gallons were assumed to be entered into the system before the test. With the native soil reported to be GW, the critical interface was assumed to be at the pipe/backfill interface. On January 7, 1978, additional water was metered into the system v.~th the following results: Depth below top of Meter Reading Gallons Pumped Time Septic Tank Vent (Gallons) (Net) 6'- 1/2" 33358 0 11:25 5'-2" 33544 186 11:35 5'-2" 33610 252 11:45 5'-2" 33680 322 11:50 5'-2" 33723 365 11:55 5'-1" 33833 475 12:05 5'-1" 33903 545 12:10 5'- 1/2" 33973 615 12:15 5'- 1" 34035 677 12:20 5'-6" " " 12:25 5'-7" " " 12:30 5'-8" " " 12:35 5'-8 1/2" " " 12:40 5'-8 1/2" " " 12:45 5'-8 1/2" ,' " 12:55 On January 8, 1978, the level in the Septic Tank was measured at 6'-1" at 2:30 p.m. CONCLUSIONS For a 4 bedroom house, we assume a 600 gpd load on the leach field. In this test, we entered 677 gallons (Daily load + 70 gallons to fill the header and leach lines) in one hour with a resulting rise in head of 1 foot above the static level. The system recovered to 4" above the static level 20 minutes after cessation of pumping, and resumed the static level 25.5 hours ( or less ) after cessation of pumping, even with continued household use ( estimated at 375 gpd). From these data, thecwriterL~concludes that the system appears to be adequate to accept the design sewage load from this 4 bedroom home. Very Truly Y~yrs~, j John M. Lam~e, P.E. "]ML John M. Lombe, P.E. 4303 North Star Street' January 9, 1978 Anchorage, Alaska, 99503 903- 279- 8056 Don Saylors SRA 300 Anchorage, Alaska, 99507 Subject: Invoice - Adequecy Test, Lot 1, Block 5, Elmore Subdivision Dear Mr. Saylors, Please consider this letter an invoice in the amount of $I150.00 for services rendered on the above project. Very Truly Yours, ?'John M. La'be, P.E. ' tit%~l~lltll))l GREATER ANCHORAG. E AREA BOROUGH \_~1~111~'/' Department of Environmental Quality ~ 3.330 "C" Street, Inchorage, Alaska 99503 274-4561 O~ ~ ~-D~~, Date Received July 14, 1976 t~' t~ /~r~'~-/Yt~- ~' ,' A ~ . . / ~1 / ~' INOlVlDUAL ~EWER & ~TER FACILITIES ' ~ l, Approval requested by: Peoples Bank and T~ust ~ Kathy Hailing Address: 2. Property Owner: Nailing Address: 3. Legal Description: Pouch 7007, 99510 Phone: 279-7511 x 46 Don E. Saylors Star Route A Box 300 Phone: 344-4775 Lot 1 Block 5 Elmore 4. Location: NHN Iglmore Road 5. Type of facility to b~ inspected Single Family 6. Well Data: A. Type ~~ . C. Construction 7. Sewage Disposal S~: On-site system A. Installed B. Installer No. of bedrooms Depth 7 2 D. Bacterial Analysis C. Septic Tank: 1. Size. Manufacturer D. Seepage Pit: 1.. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination. B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY IVlUNICIP~LI1Y OF ANCHOP. AGE 3330 'C" Street, Anchorage, Alaska 99503 - 2744561 D£PT. OF HEALTH & ENVIRONMENTAL PROTECI'ION Type of Inspection: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CMRO VA FHA JUL 14 1976 Ri:CEiVED CONV X Property Owner: DON E. SAYLORS Mailing Address: St:. Rt. A Box 300t Anchoraget At: Day Phone 344-4775 3. Name of Buyer: ]~:F;[NA~CE--DON E. SAY[ORS Mailing Address: 4. Name of Lending Institution: PEOPLES BAh'K & TRUST COt~ARY Mailing Address: Pouch 7007~ Anchora~e~ Alaska 0<)510 5. Name of Realtor or Agent: Mailing Address: Day Phone Phone 279-7511 Ex. 46 '' Phone 6. Legal Description: Lot 1~ Blk, Location: 1~ Elmore 7. Type of Facility to be inspected: ,~tn~le l~nmtl? 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms. Individual Individual (on-site) X EQ-037 (I J74) Page 2'of two pages. - Rec~'~,t. for Approval of Individual .~,.r & Water Facilities i~gal'D~scr(ptton· Lot 1 Block 5 Elmore Subdivision Co~ents Appr~va/YkValid for one year from date signed Greater Anchorag~rea Borough, Department of Environmental Quality DIAGRAR OF SYSTEM 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)