HomeMy WebLinkAboutELMORE #2 BLK 7 LT 3Elmore #2
Block 7
Lot 3
#018-172-30
Ap,!- 03 19 "a:1 is
Mayor
Anohoage Weft & Pump Set
9072430742
bevelopme-rij- _%pr.vjces bepartment
Building Sa;,ety L)i�qsion
On -Site Water A Wastewater Program
470,9
P.O. f4ox ssb 5a
Anchorage, AK 99507
(907) 43-7904
Pump Installation Log
Well D,iifillgpi,l,-illitNurilber: SW
Parcel Identificatiol, _N;:mn
-30
ee g a �JIDD e s cc r i �po o I I
Elmore- �,2 67
�PVJTIP Intake Depth Below Top OrWell casjp.,
feet
?Qmp AlEnufactarar's Nance: (D J
-Pump tyji)deI:
PU Tap Size I d / b hp
Pitless Adapter Bul-ijal Depth: I 1� f.'e,
Pitic-.Ss Adap?er Alanufacturer's Nantr_,:
PICess Adapter Installer:
Well Disinfected Upon completior,? _K� - No
qptliod of ImsinfectiL'U
Comments:
-PulnP Installer Name:
Date of Issue.-
Pr()Pf3rt-.Y Owiter Name & Address:
1 11
r7
'Its,
Apc� 1 (k e, welf
Alatmation: The purip installer sha'L Pra'vd,- ayrqp
inm.flation log to dif', DSD within 330 daYs cf purrp
first filaticaz.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program. 4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507 Page of
www.d anchorage ak.us (907) 343.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SW070270 PID Number. 018-172-30
Nv u
Michael and Candace Jeffries
Wastewater System: ❑ New ® Upgrade
Aa
4350 Riverton Avenue Anchorage, AK 99516
ABSORPTION FIELD
ptt 3453122 N~ofeaa *
4
D Da•p TrarxA m snrw. room D aea D Mpna D Omr
LEGAL DESCRIPTION
aaaRnn,
Tawo.Fa mmaa8 °•
1.2 GPoiFtt
8.5 Fl
13�7 Lal 3 sum�wr
Elmore No. 2
D"th o Pp lxxxi nom argots Vb•
13 a aFpu narYam Pp
4-4.5 Ft.
4 FL
TawwV Rartpa SarnaL
F�aoaa aoor glpnM Vsa•
Gm LeVir.
0-1 Ft.
64 Fl.
Well: [I New [I Upgrade
Gm� wam
rA Of 11 l
Duunu 1 M 1 MMs
5 Ft.
1
Ft
Cliiiwf n (Pnuna. A, a. Q
Taut D"MCava
o
T" ODwpom u•a
P"Matwmit
Existing
Ft.
FL
640 Fp
ASTM D3034 PVC
Drew
Dau Caw
Supe waw Loral
MMaaaf
Dow insmw
John's Excavating
10/4-5107
Y4
ery Pset tic
Capna H&QM ADm.7
GPM
Fl.
FL
TANK
SEPARATION DISTANCES
OSeptic ❑Holding ❑S.T.E.P. ❑Other.
To
Septic
Absorption
Ult
Holding
ublrlPrivate
•°' v
r
Fran
Tank
Field
Station
Tank
Stier Ll,,,,
Anchorage Tank
1,500 Gr
w.a
>100'
>100'
N/A
N/A
>2V
MMM
Steel
Nvtnar a CaTrD•>'x•
Two(2)
Surauwry
>too'
>100'
N/A
N/A
LIFT STATION
Lot Lft
>5'
>110•
N/A
N/A
C,M
aqulx
P01i0"b"
>s'
>70'
N/A
N/A
'Pump Dn YMI K
'Pop aT uvM K
s•9h M1nFr alarm K
„
CMon Dmet
None
Noted
Ptanv M iw a Moats
smarY EWMwl lr4ppwWW or
Ft m
Contractor Will Replace Monitor Tube Perforated Above
BENCH MARK
l.auLpn rq Dssnipaa^
Ground. Existing Septic Tank and Crib Pumped, Crushed
Back Door Concrete Slab.
and Baclfo;;ed.
aw
100.0
FL
System Oversized to Support Five Bedrooms.
Inspections performed by: A.Harala Dates: 1" 10/412007
s~��e��
•
2nd 10/5/2007
"',A •:?.f-#1
Development Services Department Approval
* 4918• * 0
Conditional Approval Date:
•� NM• • ••• N•N u
I' a �AuCHAEI tt. ANMSON v
OC1�•i�' CE -4381
%
Reviewed and approvedby: Date: "�
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT Page 2 of 3
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
Permit Number: SW070270 PID No. 018-172-30
m
w
RIVERTON AVENUE
ELMORE SUBDIVISION NO. 2
•.••E OF '�•.� LOT 3, BLOCK 7
!Gj. •• 40.113 S.F.
d
•
49 h •�'1'} ••
.. . ....
A :MICHAEL E AHDERSW
e
"° "-"�8�1y,'' ` PLAN AS BUILT
i•' . v- ..
•4.�LTESSIQ�•�
SCALE 1' - 40'
I
I
Existing Well
I
Four Bedroom Home
1
45.1' 547
S2
557 e1.3'
G
638' 814'
1
cs
e0.5' 46 tr
o I
M1
60.1' 52.7
s�
�I
I
0 I
Existing Septic
k
a
1
Absorption Cribrib
Absorption
- Pumped, Crushed k Backfilled
a
I
1
S1
1
I
S2
I
1 C41
cs
1
M1
®
AdiOcen(
I
Well ROU'us
1
tomato Site
I
1
jr to 1rsalment System
45 Lonq • 5 Wive
I
PM
•bs4rpfion Trench
1..-_______ __________________________________
10' Utility Easement
ELMORE SUBDIVISION NO. 2
•.••E OF '�•.� LOT 3, BLOCK 7
!Gj. •• 40.113 S.F.
d
•
49 h •�'1'} ••
.. . ....
A :MICHAEL E AHDERSW
e
"° "-"�8�1y,'' ` PLAN AS BUILT
i•' . v- ..
•4.�LTESSIQ�•�
SCALE 1' - 40'
Permit Number. SW070270
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519.6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
PID No. 018-172-30
PROFILE AS -BUILT -
No Scale
15
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 28, 2007
Expiration Date: Sep 27, 2008
Permit Number: SW070270 Parcel ID: 018-172-30
Legal Description: ELMORE #2 BLK 7 LT 3
Design Engineer: 0014 ANDERSON ENGINEERING Site Address: 004350 RIVERTON AVE
Owner Name: MICHAEL & CANDACE JEFFERIES Lot Size: 40113 SQ. FT.
Owner Address: 4350 RIVERTON AVE Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99516-3656
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
Ail 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.
Received
Date: 7/a 8/
0-7
Date: (7-44-1
Municipality of Anchorage
Development Services Department
Building Safety Division
i Onsite Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 018-172-30
Property owner(s) Michael and Candace Jefferies Day phone
Mailing address 4350 Riverton Avenue Anchorage, AK Zip Code 99516
Site address 4350 Riverton Avenue Anchorage, AK Zip Code 99516
Legal description (Sub'd., Block & Lot) Lot 3, Block 7, Elmore Subdivision No. 2
Legal description (township, Range & Section)
Lot Size 40,113 Sq. Ft.
THIS APPLICATION IS FOR (® all that apply):
Absorption Field n
Septic Tank
El
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms Four (4)
THIS APPLICATION IS AN:
Initial
❑
Upgrade
0
Renewal
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
7
(Signature of property owner or authorized agent)
PerrmittRush Fees: t460 Waiver Fees:
Date of Payment: /rZ2� U Date of Payment:
Receipt Number. `1 YI /7� �iPReceipt Number.
(Rev. 11105)
n�p a
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX
September 25, 2007
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 3, Block 7, Elmore Subdivision No. 2
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer-
The
ngineer
The existing absorption system on the subject lot has failed and must be upgraded.
We are therefore requesting a permit be issued for the upgrade of the septic system to
accommodate the four-bedroom home an the lot. The system will be oversized for a
five -bedroom home for possible future expansion. The attached Site Plan and backup
documentation identify the location and configuration of the proposed septic system.
The existing septic tank will be pumped, crushed and removed from the site. The
existing absorption crib will be pumped, crushed and backfilled with native sandy
material. Also identified on the plans are the locations of the existing well on this and
adjacent lots. No conflicts exist between the proposed septic system and the wells on
this or in the area. Drainage arrows are shown indicating the current drainage
patterns. The drainage patterns will be maintained after construction.
The test hole placed on the lot at the location of the new absorption trench indicated
sandy gravel with some silt (GM). The percolation rate was determined to be 1.5
minutes per inch. Previous test holes completed in the past are similar to our results.
We are proposing to construct a 1,500 gallon septic tank outside the protective well
radius and a 50' long by 5' wide absorption trench with 4' of gravel beneath the
distribution pipe. The distribution pipe in the trench will be placed at 4' below the
surface with the total depth at 8'. No groundwater was encountered during placement
of the test hole and none has developed over the past several months since the test
hole was placed.
The ground surface on the lot slopes slightly to the west in the area of the absorption
trench. The trench will be placed parallel to the contours of the ground as much as
Lot 3, Block 7, Elmore No. 2
September 23, 2007
Page Two
possible and in conformance with design criteria. A minimum of 100' will be maintained
between all components of the septic system and the proposed well and from any
surface water in the area.
If the system is constructed in accordance with our design the following statements
apply:
1. The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
•
0 iA t V C`AE; E. ANCEiSCv W
tic Si tin. CE-Ue' ���!
ELMORE SUBDIVISION NO. 2
LOT 3, BLOCK 7
40,113 S.F.
RIVERTON AVENUE
Five Bedroom Home
I
rmw b IIII1
Cnd RamoseXI ProtpnqaSeptic Tan
k
aon
I I Pump, & Backfill
�e
Existing nens
l
Existing Well
0
xl
we„
11Cyantea Trseknent Syslem
45 Longy x 5 elide
I 1 x s Et. on Tr Depth
x
------------------------
10*
_ Abserption T-nan—
10' Utility Easement
NOTE: 100' Protective Well Rada Must be Cleariy
Staked Prior to Contraction.
MICHAEL E. ANDERSON
No. CE -4381
^�_
SITE PLAN
SCALE t' - 40'
LOT 3, BLOCK 7, ELMORE SUBDIVISION NO.2
DESIGN FACTORS:
Four Bedroom Home (Oversize System)
Perc. Rate: 1 Min./Inch
Application Rate: 1.2 GPD/SF
SYSTEM REQUIREMENTS:
5' Wide Trench System
1,500 Gallon Septic Tank
4' Drainfield Rock
4 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 500 SF Absorption Area
500 SF/5 LF•.5 (Red. Factor) = 50 LF Trench Length
THEREFORE: Construct a 50' Long x 5' Wide x 4' Effective Depth Absorption Trench at the Location
Shown. Flow Line Elevation in Trench to be 4' Below Original Ground Surface. Total Depth to be
8' Below Existing Ground. Provide 4' Cover Over Septic Tank and T Cover Over Absorption
Trench. Maintain 100' Separation from Wells in the Area.
Natural
4'0" I Backfill
Geotextile
Fabric
6" O 4" Perforated
PVC (Holes Down)
4'0"
5'
rte_ 1
Drainfield Rock
TYPICAL 5WIDE TRENCH SECTIO
(NO SCALE)
NOTE:
Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells in the Area.
Minimum 100' Separation From Surface Water or Streams.
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 3, BLOCK 7 ELMORE NO. I
PERFORMED FOR: MICHAEL IFFFERIES
DATE: 9/14/2007 PROJECENo.:
PARCELID#: TECHNICIAN: A. HARALA
DErnl TEST HOLE 1
IF«II
1
A
2
3 c •..
e•
4
5
A
6
7 ---1
8
4.9
SANDY GRAVEL
WITH SILT
a GM
19-1a °•'
BOH @ 20'
SITE PLAN
SEE SITE PLAN
2%
WAS GROUND WATER ENCOUNTERED? No
IF YES @ WHAT DCVnP'
DEM1OFWATERAFTERMONITORING: NONE 5%
DATEOFMONITORING: Si 'Ql
DATE
READING
G LMINSUTTES)IME
NET TIME
(MINUTES)
WATERD
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
9/24
1
1:14
2.25"
2
1:24
10
Dry
6.50"
3
1.25
2.38"
4
1:35
10
Dry
6.38"
5
1:36
2.25"
6
1:46
10
Dry
6.50"
PERCOLATION RATE: 1.5 (MIN/INCI I) PERC. IIOLE DIA. L(INCIIES)
TEST RUN BETWEEN: 4_5 FT. and 5_5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE, 9/24/2007
i
r%.REATER AtiCHORAGE,AREA BOROItGH!, -
' HEALTH DEPARTMENT CASE 0
327 EAGLE STREET
;�• ANCHORAGE$ ALASKA 99S01
• • T Date Performed 1 Q
Performed For
Lcgel Descriptions s' sion l/—___ (r v
This Form Re;orts at Sails Log ✓
Depth
Feet Soil Characteristics
Ttie G.. .s ccM�+acf
1 wii4 L lou kt0 t.cnitnJ.
Thert prt tome errafit.
(�,,, a Sp Itntes.
S� Gu I
7 1
sl
Was Ground Mater Encountered? 1Lrn °ap
If Yes$ At What Depth
••r�rcviacavn acsc -
Location Sketch
C: M::C:
IIMMM ■.■
NIMMM mom
NIMMMEMEN
NIMMEMEMN
NIN=M�No
MIMMMM ■■
IIMMMMMMM
Reading Date Gross Time Net Time Depth To H2O Net Drop
Proposed
Depth Of
COMMITS,
ioai Seepage Pit Li Drain Field
• Depth To Isottom OT -Fit Or Trench,n
Test Performed By:_ p,.re rr,
Data Certified By:
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 3, BLOCK 7, ELMORE SUBDIVISION NO.2
GENERAL:
I. The scope of this project includes the procurement and placement of a new
1,500 -gallon septic tank at the location shown on the Site Plan. The existing
septic tank must be pumped, crushed and removed from the site. In addition,
the existing absorption crib must be pumped, crushed and backfilled with
sand. Work also includes the construction of anew 63' long X 5' wide X 4'
effective depth absorption trench at the location also shown on the Site Plan.
The distribution line in the trench will be placed at 4' below the existing
ground surface to match the line currently exiting the house. Total depth of
the trench will be 8' below the existing ground surface. The new absorption
trench and septic tank must be placed a minimum of 100' from all private
wells and any surface water in the area and 10' from the water service line
proposed for the lot. The 100' protective well radii for the well on this lot and
the lot to the south must be clearly marked prior to construction. A minimum
of 3' of cover is required over the absorption trench and 4' of cover over the
septic tank.
2. Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
3. The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
4. Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Building Safety Division On -Site Water and Wastewater Program
for system installations. Owners installing their own systems must receive
prior approval from the On -Site Water and Wastewater Program. before
beginning system installation.
SEPTIC TANK INSTALLATION
A new 1,500 -gallon septic tank must be procured from an approved source
and installed at the location shown.
Lot 3, Block 7, Elmore No. 2
September 25, 2007
Page 2 of 3
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below ground must be perforated.
5. Contractor shall verify the septic tank and drainfield area minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
6. Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for a 5'
wide trench. All pockets of unacceptable materials must be removed and
replaced.
Lot 3, Block 7, Elmore No. 2
September 25, 2007
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as -built of the completed system.
GAAB.H6) GR►'-ATER ANCHORAGE AREA BORO�1 H
4 N HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE. ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL
LL-SYSTEM
MAILING
NAME �'�'H� ,t�. "VdOAX�4 .ADDRESS 5�e/ r• l � ONE
SEPTIC TANK:
DISTANCE FROM WELL U _ NUMBER OF
MATERIAL COMPARTMENTS 7�
�j t --X)3 � 70) LIQUID
LIQUID CAPACITY �S�Yt GALLONS. INSIDE LENGTH INSIDE WIDTH-DEPTH-
SEEPAGE
IDTH DEPTH
SEEPAGE SYSTEM:
SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH/(� , LENGTH , DEPTH_(.,
L -C ' /r u / ,BUILDING FOUNDATION��. ?
LINING MATERIALT l� . DISTANCE FROM WELL
NEAREST LOT LINE �� TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) Z'r SO. FT.
TILE DRAIN FIELD:
DISTANCE F
NUMBER OF
ABSORPTION AREA SO. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: TYPETpie/« � — DISTANCE FROM �O !r WATER
J/ DEPTH , BUILDING FOUNDATION, SAMPLE NEAREST
NEAREST SEPTIC SEEPAGE ,,//��- OTHER
Z_",SEWER �,iANK Z
LOT LINE LINE SYSTEMS, CESSPOOL—. SOURCES—
DIAGRAM OF SYSTEM
DISTANCES:
: -
r,7 ct In
) l
, Scr'nc TAN*-
`o .
DATE C
GAAB-11 D-2
A
`GREATEI'"'ANCHORAGE AREA r`JROUGH Case No.
IIEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279.2511
//) : elo It I4,S11t~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT�� (1111 r t, ( 1 J')yle,I kAILING ADDRESS ��t7� kI • E� PHONE D. r
RESIDENCE ADDRESS LOCATION OF INSTALLATION// II P.' �r() t nt rr til
LEGAL DESCRIPTION -D% -7 PIZ
APPLICATION TO INSTALL: SEPTIC TANK SEEPAGE PIT r',� BRAIN FIELD , OTHER
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH TO BE INSTALLED BY
PERCOLATION TEST RESULTS
U ANTICIPATED DATE OF COMPLETION 2-441y- A107M {r
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS KK r Q1 I , PERMIT TO INSTALL A IS,P J'
DISTANCES:
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED h121�1
.SEPTIC TANK SIZE LYDO n TYPE ��i,ee'l SEEPAGE AREA TYPE 2—
I - I
K1I -A� I s DIAGRAM OF SYSTEM
� Q
()F LL qo
+iv►: — dol
00 '600CCO
c�n\►A> Aok) LCI Illi 4U1
�'adtus
H LTN AUTHORITY
OR LICENSED DESIGNER o 1 UJ i
I certify that 1 am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code. 1 4 '\
DATE APPLICANTSSIGNATURE�
■■■■■■■■■■■■■■■■■■■
■■■
■■■■■■■■\■■■■
I■Q■■■lid■■
■■■■■iia■■■■■■■■■■■■�■■■
OR LICENSED DESIGNER o 1 UJ i
I certify that 1 am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code. 1 4 '\
DATE APPLICANTSSIGNATURE�
• • r""iREATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT CASE 9
��.• 327 EAGLE STREET
ANCHORAGE, ALASKA 99501
• Performed For Tnti „ n' (1 Date Performed
Legal Descriptioneotj_ loc t, vision.�1,4n1 re 4r v
This form Reports a: Soils Log erP colation rest
Depth
Feet Soil Characteristics
Tke Gw ;s ccn.p4,4
w;fha low 14t0 e.en/ent•
There elre tome erro io.
6, c Sp lenses.
to•— i I
f
Was Ground Water Encountered? iyn s0
If Yes, At What Depth
Location Sketch
Reading Date
Gross Time
Net Time Depth To H2O Net Drop
ercoa ion Rate
1nu e
vroposed Installation: Seepage Pit L-� Drain Field
Depth Of Inlet 31DepTo bottom Of Pit Or Trenc i n .
COMMENTS:__ r.., 4 thv� L.
Test Performed By:. pe
Data Certified By:_g-g�?wr^ 4P'
Date:
-
Time If
APPLY :NT FILLS OUT UPPER HAS'' ONLY
Time
Property Owner - ` i,a
r } + J we •< �ir� 5: e-
Phone
Malling Address
, �.-
7 Zip Code
A,,�
,�.,y 2 -L!�-
Buyer % r t -..
._,_ :..
Inspector
Address
Zip Code
Field Notes:
ICY
Lending Institution
inn G f mac
Phone
Address
SEP 14 WbJ
Zip Code
Realty Co. d Agent
`'U
Phone
( ) DISAPPROVED
L, 1
l_�>c. �+ �--, : Gi ,� C. [ �� �{.l •_r ?:" Z p �c _
Z��) i Z�
Address i.
zip Code S C 3
Legal Description
L
Solis Rating
1
Well To Absorption Area Y
Street Locatlon.'
; i
T+ -
Well to Tank .y Y
Type of sldence
Septic Tank Size
Single Family
❑ Multiple Family
No. of Bedrooms
❑ Other
Wat P;Iy
111 Individual
ATTACH WELL LOG. A well log Is required for all wells drilled since June 1974.
❑ Community
For wells drilled prior to that date, give well depth (attach log
If available).
❑ Public Utility
wer
Be pOset
Indlvidual
Year Individual Installed:
❑ Public Utility
When Connected to Public Utility:
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
"N,N C) C- P vt-v—v OI 1.
T e
Time If
Time
Time
Date
Date
Date
Date 61
Inspector
Inspector
Inspector
Inspector
Field Notes:
ICY
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONM=NTAL PROTECTION
SEP 14 WbJ
RECEIVED
( ) APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITION APPROVAL'
DATE I
BY:
Solis Rating
Date Sewer Installed
Well To Absorption Area Y
Well Log Received
Well to Tank .y Y
Septic Tank Size
72V3 PM
Time -
Time
'
Date
Date
Date -
Inspector
Inspector
Inspector
Comments
Conditional Approval
Conditional
2c
Date Sewer Installed ?J
Permit No.
Septic Tank Size SCO
_-) d
Holding Tank Size
Soils Rating
Well To Absorption Area //Jl
Well Log Received
Os,
Well to Tank 9 )L -
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner o,Pj UG/G / Suver+, 2.
Plane
Mailing Address
345.-ZZ37
SQA fox 7�%� ,y
�.S S
Buyer � r
Address 5 c
Lending Institution /yj� fj�r rAG -- L�rJs,(-A V4eS61AAdk
Address 4AA—OVIe:446;-
Phone
Realty Co. 6 Agent
Address
Phone
Legal Description L OT_? lelx.E '7 EL/"AvCE .9Gp 2
Street Location RiVE.C70A
Type,pf Residence
&;'Single Family
O Multiple Family No. of Bedrooms 3
O Other
Wale( $apply "
-rSlndlvidual ATTACH WELL LOG. A well log Is required for all wells drilled since June
❑Community 90 �� 1975. For wells drilled prior to that date, give well' depth (attach log If
❑ Public Utilityavailable.
Sew -age Disposal„;._
U"4 -Individual Year Individual Installed: �97 ?
❑ Public Utility When Connected to Public Utility
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
e.
ALASKA EfIUIROflWTAL COnTROL RUM, InC.
Engineering E Enuironmental Studies
12/14/81
MUNICIPALITY OF ANCHORAGE
DEPT. Of H-ALT;I G
ENVIRONMENTAL rLCT'_CTION
BOB HYSOM UFC 1 5 1981
SRA BOX 478—G
ANCHORAGE AK 99507 RECEIVED
SELLER — BOB HYSOM BUYER—
SUBDIVISION—ELMORE #2 BLOCK -7 LOT -3
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 420 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 700 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
4 BEDROOM HOME.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1500 IS ADEQUATE FOR
THIS 4 BEDROOM HOUSE.
OF A
�• tvo. >r"t�
"
ES SNA+:
1220 West 25th Auenuc • Anchorage, Alaska 99503 0 (907) 276-1361
December 16, 1981
Robert W. & Julie L. Hysom, Jr.
SRA Box 478-C
Anchorage, AK
Subject: Lot 3, Block 7, Elmore Subdivision Add. 02
Riverton
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
° The water facilities were not turned on at the time of the
scheduled inspection. Please call this office for another
appointment.
° Locate and expose the standpipe to the seepage pit for our
inspection. This is to insure the minimum distance
requirements are met between the well and sewer system.
Please notify this department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
Robert C. Pratt
Associate Environmental Specialist,
4
&,h hada
MUNICIPALITY OF ANCHORAGE
—
•� DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
e�
05 L Street • Androrapa. AWlta 99501
•
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 2844720
❑ One ❑ Four ❑ Other
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Carp ns all Peru on Paw t. Itteotspleoe requess wiS not W Praeessed. Please allow tea (101 days for processing.
1. PROPERTYOWNER
❑ Three ❑ Six
PHONE
MAILING ADDR
INDIVIDUAL'
/ -02-,9
❑ COMMUNITY
PRO R RES DENT 11f d fferento aEove
❑ PUBLIC UTILITY
depth (attach log if available.)
i4�2
f
I-- INDIVIDUAL/ON-SITE"
4 BUYER
F o A/ E /�� /1J� f -t
❑ PUBLIC UTILITY
PHEML
3 y_
MAI? GhDDR
112-
-LENDING INSTITUTION
PHONE
MAILING ADDRESS
4. REA ORMGENT
PHONE
1,6e 44 -e
,;279-3Sv1,I
MAILINGADORESS
6 LEGAL DESCRIPTIO
e�
STREET LOCATION
IL TYPE OF RESIDENCENUMBER
[9' SINGLE
❑ One ❑ Four ❑ Other
FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
INDIVIDUAL'
- *ATTACH WELL - LOG. A well log is required for all wells drifted
❑ COMMUNITY
since June 1978. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
S. SEWAGE DISPOSAL SYSTEM
I
"If individual/on-site, give installation dats�.L-�- .
I-- INDIVIDUAL/ON-SITE"
If system is over two (2) years old an adequacy test is required
❑ PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIA
rtirtulwrral
-11' THIS SIDE FOR OFFICIAL USE ONLY,
INSPECTION APPOINTMENTS
DATE RECEIVED- -- ---
TIME
TIME
ME -
DA
DATE
DATEME-
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
-,I*I SINGLE FAMILY—rf
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
-O INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL - -
DATE DRILLED
LOG RECEIVED
3 SEWAGE DISPOSAL SYSTEM
LE71NDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
IN AL ER
'EISepticTankor ❑Holding Tank
Size: t rl=, If Tank is homemade
give dimensions:
SOILS RATING
t
_Wn�_ L1 Qlp sr?
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
s
4. DISTANCES
WELL TO:
SeptiolHotding Tank
Sal
Absorption Ana
t
Sewer Lim
tat Lot Lim
'
Absorption Ara to retarest Lot Lina
5. COMMENTS
APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY Tltl
LEGAL DESCRIPTION
72-010 (Rev. 3/781
Ted Forsi and Associates
107 West Sixth Avenue, Suite 205 • Anchorage, Alaska 99501 • (907) 274.9517
September 5, 1978
Bowden Realty
301 East Fireweed Lane
Anchorage, Alaska 99503
Attention: Joe Price
Subject: Septic Tank Inspection for Lot 3 Block 7 Elmore Subdivision
Dear Mr. Price:
On September 1, 1978, we performed tests to determine the adequacy of the
septic system which serves the subj4ct property! Based on the percolation
rate of the seepage pit, the system will accept approximately 112 gallons
per hour. This acceptance rate will adequately serte the�proposgd five
bedroom house. on the same date, the'septic tank was pumped by Isaac's
Pumping Service. The receipt for this work is attached.
If you have any questions or we can be of further service to you, please
feel free to contact us.
TWH/crw
Attachment
—) cc: Les Bucholtz
Sincrely,
T-EDD7FORSI AND ASSOCIATES
Tom W. Howell
Civil Engineer
Engineering • Planning • Surveying
u
ISAACS PUMPING SERVICE
(Norm Tibbetts, Owner)
6218 Quinhagak Street
ANCHORAGE, ALASKA 99507
Phone 344.0114
WFTOYER•ORDER MO.
Mp,(
DAT!
YAYF
ADORElR
d W3 P
CAW
CDD.
CHAR
OW ACCT.
MOM .REf D.
EMD OUT
I
I
I
I
----- --
-- -
TAX
I
.OIo �I
RF(; �vED.Y
.1RJ`
OAn
TOTAL
wn eie,me ena ralu,neA 90O * MUST De
2305 eccompenleD by this bill cn7311kcl`,UU
SERIES SOD
OL,
n
Dotten Drilling Co.
BOX 10056 JOHN'S ROAD ANCHORAGE, ALASKA 99502 PHONE 1!1_1952
18cujL n Kec j Ors
( i`i'i r, P -r i a
%6?c1� seal lS.00
i E0.•
�V, r1 Ir le Z1 y0
Z%Z r5, PiJ�t.ne /L-�bor pO,OU
