HomeMy WebLinkAboutELMORE #2 BLK 8 LT 3Elmore #2
Block 8
Lot 3
#018-172-36
Municipality of Anchorage
Community Development Department Page ( of
On -Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: LX;, Pit[ 13- PID Number: Cx K— r 2, 3 Co ❑ New Upgrade
Name:
i (�ivs r D
ABSORPTION FIELD
�ee p Trench [I Shallow Trench El Bed E] Mound
Address
f�
y Rt v-rr icor+
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original gra, de
( r Z GPD/SF
s#,* 41r<Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Dr S Ft.
Gravel depth beneath pipe
ptZ-Aw
Subdivis�iioo+nn Block Lot
1—( M & C' 2.. Df 3
/to Ft.
Fill added above original grade
Z, 0 FL
Gravel length ��/ 2
+J�1G G.7 Ft.
Township Range Section
Gravel width
Z, O Ft.
Beds: Number of Lines
i
Distance between lines
/ Ft,
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
�A
'SD_ \ Ftz
Ft.
Well`��+
/
t4
(
S�t�
TANK ❑ Septic ElS.T.E.P. ❑ Holding E] Other
?
f,h
�i�
Manufacturer Capacity
Surface Water
r
�()0
Gal.
Material
umber of compartments
'�
Lot Line
r'l7
NA
Foundation
Z ®r�
LIFT STATION
Manufacturer
Capacity
Curtain Drain
4vr(2
OW �
Gal.
Remarks
Pump on level at
Pump off level
in.
High water alarm at
in.
-
Pump make odel
-�����pppp
Electrical Inspections performed by
Installer
PIPEMATERIALHouse to tank-r,03t( Tank to �
drainfield
V, -eT
Drainfield 'y DiH CO/MT - 0S
Inspectors % 400 t ^
BENCHMARK (Assumed elevation) loo` ft
Inspection61.,
dates 1 Y l3–�H 2"" _ 4( /''//f – tifuurlL"
Location and description
r\
'i'u 0 4.. i4.
3m 4m
(] Sl.40 X oo C .
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
��QL%i k�(aT
q� OF A1,?��H
Conditional Approval: Date
e ..F .
��:•' • X "`F
i 4/9�7.. ......... r
f.
./ ... .l
,d 6 MICHAEL N. ANDERSON
i• CE%94
/
Approved / U' • — Date
Inspection Report_ - - t.aoc
Permit No. OSP111177
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: ELMORE #2 BILK 8, LOT 3 PID No.: 018-172-36
f
I
I
I
1
---- `100' WELL RADIUS
1/
MARK
A
8 ELEV.
ELEV.
MT
176
1103 1101.5
194
v �lN.T.S. 1 -- -._
iAI GR.E
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v �
\
BENCH, MT LID \
SCALE: 1"=20
49LH
r 7 C'n : MICHAEL N. ANDERS(
�y,5a �.cs' No. 9
On -Site Wastewater Disposal System Permit
Permit Number: OSP111177
Tax Code Number: 01817236000
Work Type: Septic Upgrade
Permit Effective Dates: August 05, 2011 to August 04, 2012
Design Engineer: ANDERSON CONSTRUCTION & ENG'G
Subdivision: ELMORE #2
Site Legal Address: ELMORE #2 BLK 8 LT 3 G:3036
Owner/Address: BOSCO EDWARD C JR & NANCY L
PO BOX 112794 ANCHORAGE AK 995112794
Site Mailing Address: 4700 RIVERTON AVE, Anchorage Lot Size in Sq Ft: 41401
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
gent
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650T
%i
eparttilelit
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP111177
Tax Code Number: 01817236000
Work Type: Septic Upgrade
Permit Effective Dates: August 05, 2011 to August 04, 2012
Design Engineer: ANDERSON CONSTRUCTION & ENG'G
Subdivision: ELMORE #2
Site Legal Address: ELMORE #2 BLK 8 LT 3 G:3036
Owner/Address: BOSCO EDWARD C JR & NANCY L
PO BOX 112794 ANCHORAGE AK 995112794
Site Mailing Address: 4700 RIVERTON AVE, Anchorage Lot Size in Sq Ft: 41401
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
MUNICIPALITY OF ANCHORAGE
Community Development Department , Phone: 907-343-7904
Development Services Division Fax: 907-343-7097
On -Site Water & Wastewater Program
Mayor Dan Sullivan
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I. D. Uell 7 P.;-3 (o
Property owner(s) 0A, 02"Of-e a Day phone
Mailing address
Site address 4- 7 oo Q, µ< r V o on kv c,
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
Lot Size % Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
THIS APPLICATION IS AN:
(M all that apply)
Absorption Field
Initial ❑
Septic Tank
❑
Upgrade 0
Holding Tank
❑
Renewal ❑
Privy
❑
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
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.
(Sign
of property owner or authorized agent)
Permit/Rush Fees: r`*o
Date of Payment: i�Z-6
Receipt Number:%!C,
Permit No.;'
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GABuilding\On Site\Forms\Client Forms\Permit App_01 041 1.doc (Rev. 1/11)
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4661 Natrona Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
July 25, 2011
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Elmore #2 Subd. Blk 8, Lot 3
To Whom it may concern:
This is a request for a replacement leach field permit on the above referenced lot. The existing system has
not failed; the owner just wants a backup system. The existing tank is a 1250 gallon gravity flow unit with
an external pump basin. The test hole consisted of poorly graded gravel (GP) for the entire 12 foot depth
with water observed at 12 feet during the excavation and then raising to 10.5 feet after the 7 day monitoring
period. The perc was two minutes per inch. The attached site plan has the new layout for the installation of
a trench 63 feet long located to the west of the existing system.
None of the neighboring properties will be impacted by this upgrade since most are vacant and the lots are
large. The slope at the site, is very flat, about 1 to 3 percent to the west. No cut banks or slopes over 25
percent existing with 200 feet of the proposed installation.
Please call me if you have any questions.
Sincere y/v�
Michael N. Anderson, P.E.
DESIGN CRITERIA:
4 BDRM X 150 = 600 GPD
SOILS = 600/1.2 = 500 GPD
500 GA/8 = 63'
(1) TRENCH
4.5' DEEP
4.0' EFFECTIVE
2.0' WIDE
63' LONG
(TH#1)
-0.5
H2O ®-10.5
-12.0
MOUND OVER
GRADE
'I
SEPTIC FIELD SECTION
-NATR0NA AVE
-
FILTER FABRIC &
2" INSULATION
1.25"0 PIPE
EWER ROCK
ORG `4
I
ii � II
—0.5
GP S
—4.5
Q-01
SEPTIC FIELD SECTION
-NATR0NA AVE
-
FILTER FABRIC &
2" INSULATION
1.25"0 PIPE
EWER ROCK
i
- R I V E R T 0 N----&,V--T - l
- EAST 1 45TH'\ AVEC
II
Septic Design Prepared for
ED BOSCO
ELMORE #2, BLOCK 8, LOT 8
Anchorage, Alaska
Michael N. Anderson, P.E. DATE:
4661 NATRONA AVE. DRAWN:
ANCHORAGE, ALASKA 99516
345-3377 / FAX: 345-1391 SCALE:
7/11/2011
DJR
1 "=200'
I
ii � II
I
i
---
-----
— — — —
--�L----
---
--
VACANT
LOT EXISTING
WELL
100'
RADIUS VACANT 1
7 \�
PROPERTY LINE
i ��
LOT
I 0
i
- R I V E R T 0 N----&,V--T - l
- EAST 1 45TH'\ AVEC
II
Septic Design Prepared for
ED BOSCO
ELMORE #2, BLOCK 8, LOT 8
Anchorage, Alaska
Michael N. Anderson, P.E. DATE:
4661 NATRONA AVE. DRAWN:
ANCHORAGE, ALASKA 99516
345-3377 / FAX: 345-1391 SCALE:
7/11/2011
DJR
1 "=200'
- R I V E R T 0 N A V E- \
\
tit
a 1
WELL
� I
� I
WJ I
> I
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CD
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/
i
EXISTING HOUSE I ,
rn
SED DRAINFIELD 1-3%
1-3%/
T11
i I I I
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I I
Septic Design Prepared for
ED BOSCO
PROPERTY LINE
R
u� e.
5urv,e"0,r
�-
K eS
\ I I
\\ EXISTING 1,250 GALLON
SEPTIC TANK EXTERNAL
\ IFT ST TION
\
1-3%
\ • i Y
\\ �� (RE BLIPERTY LINE 1, UTILITY
ELMORE #2, BLOCK 8, LOT 3
Anchorage, Alaska
Michael N. Anderson, P.E. DATE:
4661 NATRONA AVE. DRAWN:
ANCHORAGE, ALASKA 99516
345-3377 / FAX: 345-1391 SCALE:
7/11/2011
DJR
1 "=30'
10' UTILITY EASEMENT
ELMORE #2
BLOCK 8, LOT 10
•'�OP�E OF q�,�s��♦i
1w •.!y �i
49TH io
�...... ......... .....................�
MICHAEL N. AND R.; m
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
www.ci_anchorage.ak.us
(907) 343-7904
dow
i�
,,:7, 4-,
,4-, G I N EEPA SERI.Of_
."�
o, *: 49TH •,z'��
-00• MICHAEL ANDERSON ; ck-
r CE - 9469 ' ``'
Soils Log - Percolation Test t1i�PRQ«eSctlt``�"'
Performed For: C �_, G S ,G V Date Performed:
Legal Description: 1`:4w pr r # Z 1$ bf L, *j Township, Range, Section:
0 ego#%121)
1-
2-
3-
4- r a Vc
5-
6-
7-
9-
10-
11-
12-.
-6-
7-
9-
Date
ENCOUNTERED?�
10-
Depth to Water
S
11-
��- L
Depth to Water After
12-_
Monitoring?►u,
E
13-
14-
r'
3" i
15-
16-
17-
18-
19-
20 -
Site Plan
WAS GROUNDWATER
Date
ENCOUNTERED?�
Net Time
Depth to Water
S
IF YES, AT WHAT DEPTH?
��- L
Depth to Water After
O
P
Monitoring?►u,
E
Date:
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
& #
S Ai
r'
3" i
r CRI.V LHI IVIV RHI C Lam. (minutes/inch) PERC HOLE DIAMETER (,Q
TEST RUN BETWEEN _FT AND Y_FT
COMMENTS pa9NT.r �n�(ICS � iiyl!2�tYv
PERFORMED BY: t4114 f ./�, I CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7 L /f
AUG -03-2011 09:35 AM EDWARD C BOSCO 907 345 4532 P.01
I
EDWARD C. BOBCOf JR.
4700 RIVERTON AVE
ANCHORAGE, AX 99516
11 JULY 2011
TO: MUNICIPALITY OF ANCHORAGE
ON SITE WASTEWATER DISPOSAL PERMIT OFFICE
RE: INSTALLATION OF DRAIN FIELD AND PIPING AT 4700 RIVERTON AVE,
ANCHORAGE, AK 99516 (LOT 3 BLOCK Sr ELMORE SUBDIVISION 92)
I WOULD LIKE TO DO ALL WORK TO INSTALL A NEW'SEPTIC SYSTEM DRAIN
FIELD AT MY RESIDENCE IN ACCORDANCE WITH DESIGN SPEC. FROM MR.
MICHAEL ANDERSON,P.E. AND PERMIT ISSUED BY M.O.A. I OWN MY OWN
BACKHOE AND AM EXPERIENCED IN OPERATING IT. I AM ALSO EXPERIENCED
IN INSTALLING PVC AND ABS PIPING AS WELL AS STEEL, CAST IRON AND
ALUMINUM PIPE. ALL WORK WILL BE DONE TO PROFESSIONAL STANDARDS
AND WILL BE SUBJECT TO INSPECTION AND APPROVAL BY MR. ANDERSON
AND M.O.A.
00042, o a �"...40gaveJ,
EDWARD C. BOSCO, JR.
72-013 (Rev. 3/781
MUNICIPALITY OF ANCHORAGE ,
1
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ONSITE
SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION
REPORT
NAME
PHONE
&dNEW
X
XXXXXX X X Edward Bosco, Jr
❑UPGRADE
MAI L�ICyP[�,DR ESS
J
.� K H
0
LEGAL DESCRIPTION
LOCATION r ^
7 T
s
NO. OF BEDROOMS
�
Absorption are f
WelloO
Dwelling r
PERMIT NO
O Y
DISTANCE TO:19l
�.
91
2
W (
Manufacturer
4 rews-e
Material
tie
No. of compartments
Liq. Sa achy 'n gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
t3 Y
DISTANCE TO:
Well
Dwelling
PERMIT NO.
JV2
_?
Manufacturer
Material
Liquid capacity in gallons
OWell
DISTANCE T0:
O
Foundation Y�
Nearestlot lme2_51
PERMIT O. O
W =
,p
-1 Z Z
No. of lines
Length of tach line j
Total length of lines
Trench w th
Distance between lines /
"? W
;:.3w
Z- /
• Inches
H
Top the to finish
Material beneath theTotal
If
¢
of grade (
abs Tufn area
LL
p
inches
Length
Width
Depth
PERMIT NO.
W
a
i F
Type of crib
Crib diameter
Crib depth
Total effective absorption area
W
Well
Building foundation
Nearest lot line
DISTANCE TO:
J
Class
Depth
Driller
Distance to lot line
PERMIT NO.
W 3
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
e
PIPE MATERIALS
SOL EST RATING
t
14
INSTALLER /
/3 e
O
.7
REMARKS
{
/-Cr
IL
6C 0
»,
t
11
I /
-Tnsi& Lt Lonn
h
e
to v
APPROVED
DATE LEGAL
.2r-sem- /, 3 4 3 r14 .
72-013 (Rev. 3/781
i r-J I C I► !L I T Y n F N119
^(•l DEPA^TMEFJT OF HEALTH AND ENVIRONMENTAL PROTECT�v
' ,4f825 'L' STREET, ANCHORAGE, AK. 99501
�! 264-4720
!JELL F=l r-4C� CDr•J—E I TE = ELRIER PEF;_�t•l �I T .
��
PERMIT NO. C 820105 ) _aLl-b
� J�emo�� F.c.
' Lour
APPLICANT EWARD C BOSCO JP. 5901 E 6TH AVE SF' 205 337 : J
LOCATION R:IVER:TON AVE
LEGAL L3 63 ELMORE LOT SIZE 48000 SQUARE FEET
LL) td
(j
OF SOIL ABSORPTION SYSTEM IS: TRENCH k
MAXIMUM NUMBER: OF BEDROOMS = 4 SOIL RATING CSO FT/6R:)= 166
WCL)
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
CHEF —r o /lLEr4GTH= - GF=:1=1k'EL C EP TH= -4
THE LENGTH DIMENSION IS THE LENGTH CIN 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 CIN FEET).
THERE IS NO SET WIDTH FOR: TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
REr!�� I REGI �EF•T I r TFIr-JK = I =E= 12Zf- D r3FILLt7r4S
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE
INSTALLATION INSPECTIONS OF ANY DWELLS ADJACENT TO THIS PROPERTY AND THE
NUMBEP OF RESIDENCES THAT THE WELL J•IILL SERVE.
--- TWO C � 7 FIRE REiD-.0 I REL-
BACKFILLING OF ANY SYSTEM 141THOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL 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 I -JELL TO A PRIVATE SEWER. LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT !•WITHIN 30 DAYS
OF THE 6JELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F E:F.'M I T E'rtiR I RES= CtiEL EME3ER 31 s 1Lf4:D2:
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: 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 IS REP10DELED TO INCLUDE MORE THAN 4 BEDROOMS.
SIGNED: ----------------------------------------
APPLICANT EWARD C BOSCO JR DD
ISSUED BV_____DATE_ 3�z���L�_ V4. 0
^'So
Edward C. Bosco, Jr.
P.O. Box 293
Nenana, AK 99760
Permit n 810900
n
.126 "1_" STREET
ANCHORAGE, ALASKA 99501
00 1) 2611 4111
C1 altar Al SULLIVAN.
am rare
11, n) i'i A'."'' Jll:'C.^.L' f.i..l 1W)TCCnoM
January 4, 1982
Subject: L 3 B 8 Elmore S/D
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
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 should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Enclosure: Copy of Permit
Sincerely, �/> 51 � �-G�t,
Les N. Buchholz R
Program Manager
Sewer and Water Program
MUr•d I G' I r'FiL I Tyr' OF Fir-aCH,JRFiOE
` DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L' STP.EET, ANCHORAGE, AK. 99501
254-4720
WELL Fl r4 C* OrJ—S I TE SEFJER F'ERr'1 I T
PERMIT 1-40. ( 810900 )
APPLICANT EDWARD C. BOSCO, JR. PO BOY, 293 NENANA, ALASKA 832-5515
LOCATION RIVERTON AVENUE
LEGAL L 3 6 8 ELP10RE S?D LOT SIZE 48000 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER. OF SEDP.00MS = 4 SOIL RATING CSQ FT/BP.)= 166
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
C•EPTH= LF, LErJGTH= g:� d ;_R:FFtiv'EL GtiEPTH= 4
THE LENGTH DIMENSION IS THE'LENGTH CIN FEET) OF THE TRENCH OR DP,AINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
REGU I REG SEPTIC TFir-JK S I .=E= 1 00 GFiL.ILOr-AS
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 !JILL SERVE.
--- TlJO < 2 ] I r-4!E;PEiCT 101 r4 <—:: FIRE F?EG!U I REI? —
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPCTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL ANE'- ANY ON-SItTE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE 14ELL OR 15E,"TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS
OF THE I4ELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F=`EFtr1 I T EXPIRES CtiECEMFIEFR X11 1 S_Au1
I CERTIFY THAT
1: I AM FAMILIAR. WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: 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 IS REMODELED TO INCLUDE MOPE THAN 4 BEDROOMS.
SIGNED:_______
--------------------------------- Q N
APPLICANT EDWARD C. BOSCO, JR.
ISSUED BY ------------------------------DATE 8_ Zlm.4---- V4.0
MUNICIPALITY OF ANCHORAGE �
_ 'Department( )Health and Environmental rotection
',^C( 825 L Street, Anchorage, AK. 99501
20_
* * * HANDWRITTENRITTENPERMIT * * *
/l / "DWELL AND/OR ON-SITE SEWER PERMIT {),, �t O
Applicant: 4444 1 wi-GC d • eosep Mailing Address: f0b c Xa(? 3
Location: P1lyr7b -) Phone Number: 83a-/55�G
Legal Description: Z-3 62?E%YYto r� Lot Size: l / 6 k - ala_
Type of Soil Absorption System Is:
Trench: 1/ Drainfield: _ Seepage Bedt Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br) 16
The Required Size of the Soil Absorption System Is:
DEPTH q LENGTH '93 GRAVEL DEPTH Ll WIDTH
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 no 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(HOLDING) TANK SIZE _ �'2�U 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.
* *.* TWO W INSPECTIONS ARE REQUIRED
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee -
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 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 3 1
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that bedrooms.
Signed: 1���/Jaa�ae,�IG. Issued by: aq e tQ
Applicant &//
Date: &/8- -7 �8 /
SWP/024(1/81)
SOILS LOG
MUNICIPALITY OF ANCHORAGE qtf�
• DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION /If PERCOLATION
(((I A TEST
925 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
> ^y� ` y Q
PERFORMED FOR: �10 / RpI�f_�f� DATE PERFORMED: - /-r_/1
LEGAL DESCRIPTION: Zip / 35 BLa__ h— 8 C I / s ore 3uh
1
Data
Gross
Time
2-
Depth to
Water
Net
Drop
3
6-;k
4
5
, • .
3
: •,.,
6
i,7-5
Pdrl
7
2
I Z'o5F
/b
0.73
17_3
9
'`••
11
:.••:
12
• ••,
13-
3
14-
14151s1718
15-
16-
17-
181
19
20
•
Fleq.sc note
C;1clrf �'})of),
P,erc- . O n
back
SLOPE
ONION
ONION
■11■■
■/.■■
■2■■
SITE
Reading
Data
Gross
Time
Net
Time
Depth to
Water
Net
Drop
/
6-;k
3
izt3�
IRid1
i,7-5
Pdrl
2
I Z'o5F
/b
0.73
17_3
PERCOLATION RATE r.(''� (minutes/inch)
TEST RUN BETWEEN o,O FT AND FT
f — / 2 .icy .
PERFORMED BY: 'KAbf 4 C7/'YL. CERTIFIED
DATE:
t
72.006 (6/79) /
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illi -W DRILLING, Inc.
P.O. Box 4.1224 - 1310C International Airport Road - '—
'
"(907)274-4611 -
.:ANCHORAGE, ALASKA 99509 ..
.DRILLING LOG L
'y Well Owner rA Boeoo ` []se of Well Th.^.astir
+'�• Location (address of: Township, Range, Section, if known; or distance main road
T 4' Al ok•R 1yi_innff'j •'''•'
.. Sue of casing F" �nepth of Hole �t 'feet f Cased t
I�...r 3f.. ', ..� 6i.!j i,-`, i��+�+'' ,..' s +..,, _.._ ... .,t •'. ,yc Y:. -,...
Static water level _5S . Ft. (above) ;(below) land surface Finish of well (check one) open end
+ , i Screen ( ) , Perforated (..¢t '�`i % � } , z ; p. , + r + � '. •
..Describe screen or perforation T.nr� ��''' ''� '' '- i>r tt }�
<,
Well pumping test atm_gallons per (hour) (minute) for hours with ttlf)1 ' ft.
of drawdown from static level. •rt'I `"r' % - �
..j>r59
Date of completion�'Analat n; I1oR� �;(.),C� 49
r J..
z« fa I ... ''...h 'fhc��sE�nw4$�a3 Ti�A,,e3�sm
j0: Depth in feet from �:•„l . ")' s+g
ground surface ' ;Give details of formations penetrated, size of material, color and hardness
'3 Y1. Jae....
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h TO 1`L_ `Si1t.Y clEtYr L9mnriPAITTY OF ANCHORAGE
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_.. •..... ..�:i< ''Rd>rJS'�G'i,' I ......,.`-.CONTRACTOR
