HomeMy WebLinkAboutELMORE #2 BLK 12 LT 4Elmore #2 Block 12 Lot 4 #018-173-33 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program. 4700 Elmore St. P.O. Boz 196650 Anchorage, AK 99519-6650 Pageof 2, www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: s W GAG y PID Number: Of F — ;-7:; -3 3 Nems Pey, „r; ,J­ Wastewater System: ❑ New ❑ Upgrade AOdvN 190o F= l'/ 7 1"" Ave /+-(A 995-/ ABSORPTION FIELD Pno+e Number of 11a0100ma 3 HS- - J9 y 7 3 S- 1-yi, ❑ DeaP TnnUt tQ Sn41ow Tre.0 t] Bed O Mound OtMr LEGAL DESCRIPTION Still Rating I. O GPOIFII Total De0ln eom ongtnal glade •7.9 1 t 2• � 1 1[, ,i FI. B>Q Lot $uDOM4on De0ln tO pM 00it. It" Original glade GrarN down OeMIN pOe 1 12- It r= l Fn6,? st Z 7. ,/' Ft. O' , FI 7O ',ko Range semon FYI added'Dort ongmM g's" G'" LHIgN Ft. U "/ 5' rT H}- ' = / O Ft. Well: T x,Si ❑ New ❑ Upgrade GurN.016 S• Numb&'01 1.41 Dislanuo. ith iinc, U Fl. 2 IG Ft Ua W'w-on (Ph.&w A a C) Total Depth ca»d to Two Cisomkon &'e' P.P* IAC..al 1- - 61G Ft. I Ft NSU Fir •/ Drcur Dale Dnned Stain: Wal&'Le•M 101,1811.1 nitl 13u 161 f Ega<T �ow,lnsWyd 9 / L6/o 9 Ft Y.e.d Pomp Set al caking Height AboveGiourq TANK GPM FI. it. SEPARATION DISTANCES Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ubbc•Prwate rapawy From Tank Field Station Tank Sewer Line G-rlrr 100e, Gal VIN'. I I I2Q - / 2S1 1.1.101W F� Skeet Hpmm be, ot cowlinenla 2 S-na_e Waw > toe. l > 1v0 • _ _ LIFT STATION N A,. •se an„ Lamm L>l Lne s 2 1 I I' Ga: 'Pump on' brM al 'Pump oK Isv&' al Hipn riser a7,m al N Y1 In PUM Make IT Model Elwin" Inaom.%penonhad by Re^aria f fT k, 1, BENCH MARK 1 ,nG n ,v 17 yr Loouon.no Dewlpuan e,"/n j sy ,On Pel rer /Gide r Sedr hhr",rhn/d Rear Rro e I��" V"' 16"4 -In l-e'll✓el /C Qv(nfl ch/1- 9CT� luwmed .erauw MIM FT de, or,Ft dqe het!, be/tvolr^ 6/rLi,n �,r/LTJ &, hr,i.•1 ool'g." tj r .Lt aso ki.t�rop�.twafl,^ �r+9/2-i/09 Engineer's Stamp Inspections performed by: F/ut/oi Tttl, SvC Dates: 1F' 9/73/69 tine 9 /2 y /O9 Development Services Department Approval F •�3 Conditional Approval Date: �.� �N�� �� .2�... . TliLGDORE F. 46OOk'c ti'.'•, CE-35!'9 r �.�u� Reviewed and approved by: �f Date: 3-/8 '/ 3 ...!... 4' 4r ISw ?/ Cti / 0 PERMIT NO: SW 090154 Cl' PID NO: 018-173-33 �sDRM Hous SWING TIES: .D FROM: COR. "A" COR. "B" 1000 -GALLON TO: SEPTIC TANK FDN. C.O. "D" 25.5' S.T. C.O. "E" 27' 54.5' S.T. C.O. "F" 29' W. DBL. C.O. "G" 31' 67' DFLD. C.O. "H" 14' 77.5' DFLD. M.T. "1" 28' 80.5' DFLD. C.O. "J" 58' 100' SPLITTER "K" 39' 93.5' DFLD. C.O. "L" 25.5' 92.5' DFLD. M.T. "M" 34' 94.5' DFLD. C.O. "N" 62' 111' "G" TWO (2) PARALLEL 5' -WIDE x 45' -LONG _ SOIL ABS. DRFLDS w. 2.0' SAND 3 0.5' GVL UNDER DIST. PIPES PLAN VIEW SCALE: 1" = 30' Fin4( q�?9/C ^. G..f"� �. ACS" n -WATER @ 88.0' -W29A9 9/22/oy ORIGINAL �— GROUND ELEV. 101.0' SEWER GRAVEL ELEV. HV4 INV. 94.6' FILTER SAND .1.:1.1.1. PROFILE VIEW NOT TO SCALE I PAGE 2OF4' , , " T.H. #1 , r , , "H^ , .I.K. I• F.fl+�r�� It* 49 m � •�*1 ........................ CE - 3589 A J/ u -/!o 4' SOIL COVER 1000 -GALLON 0 \_INV. SEPTIC TANK 94.9 LOT 4, BLOCK 12, ELMORE SID #2 SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECIINICAL SERVICES I SCALE:ASNOTED 14530 ECHO CANYON ROAD DRAWN BY TFM ANCHORAGE. ALASKA 99516 NOVEMBER. 2009 Ted Moore From: Sent: To: Subject: Attachments: tv, To: Ted Moore Poet, Jeff W. [PoetJW@ci.anchorage.ak.us] Tuesday, March 09, 2010 2:52 PM Ted Moore (tgmoore@gci.net) Pink sheetdoc image001.jpg; image002.jpg; image003.jpg; image004.jpg; image005.gif Municipality of Anchorage P.O. Box 196650.4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http:/twww.m u n i.orq/Onsite Development Services Department On -Site Water and Wastewater Program Dent ,S c ^ c C n Department ON-SITE SEWERIWELL SUBMITTAL COMMENT SHEET Legal description: Elmore #2 Block 12 Lot 4 Permit C.O.S.A. Inspection Report The attached paperwork has been reviewed and Is being returned for the following reasons: 1. Appears system installed deeper than permitted. 2. Final grade needed on page 2. Name of reviewer. Jeff 2 Sydl-��•, dt,4fh Date: 3-9-10 �..- Gt/r�l �t^C,c f/l�if%C� tic/�t1, //P��fTic( S. 2' SP/7Qr`G/4vn 6lfTtite-, 410f4V-7 a/ -yrtlW/ Ctnd ���rneleuo !-ems o•, 9/22/09 hpP'r)"' � ak y o•S'' .6// ad�,�e aIc,.,,C 3 / <s l /a I a -V117 st/ .9�ynf MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d 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: Aug 19, 2009 Expiration Date: Aug 19, 2010 Permit Number: SWO90154 Parcel ID: 018-173-33 Legal Description: ELMORE #2 BLK 12 LT 4 Design Engineer: 0019 FLATTOP TECHNICAL SERVICES Site Address: 004800 147TH AVE E Owner Name: SALLIE PERKINS Lot Size: 0 SO. FT. Owner Address: 4800 E 147TH AVENUE Total Bedrooms: 0 Permit Bedrooms: 3 ANCHORAGE. AK 99516-0000 This permit is for the construction of: [✓� Disposal Field Q✓ Septic Tank Holding Tank E] Privy ❑ Private Well ❑ 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 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, seated, and heated to prevent freezing. Received Issued Date: '�F/zG /c9 Date: 9 Municipality of Anchorage Development Services Department t Building Safety DivisionOn-Site Water and Wastewater Program 4700 Elmore Road : P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERNVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O(B — /T 4 _ g 7 Property owner(s)_ 5cr //; o P t �- k • Day phone _3 Yd -&,,-2s Mailing address kBoO E / H 7 r" �}�� r �IZip Code 9 9s-1� Site address Ce $M Zip Code Legal description (Sub'd., Block & Lot) otic y Legal description (Township, Range & Section) Lot Size Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field Septic Tank Holding Tank El Privy El Private Well Water Storage Number of Bedrooms 3 THIS APPLICATION IS AN: Initial Upgrade 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. (Signature of property owner or authorized agent) Permit/Rush Fees: -1) -3,0 Waiver Fees: Date of Payment: 1�3' 2 " D Date of Payment: Receipt Number. (Rev. 11/05) �{.S Q G Receipt Number. FLATTOP TECHNICAL SERVICES . CML 6 ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION 6 ANALYSIS TED MOORE, P.E. 14530 ECHO CANYON ROAD PH.IFAX:1907)3454355 ANCHORAGE, AK 99516 E -Mail: tgmoore@gci.net August 11, 2009 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application to upgrade the wastewater disposal system serving the 3 -bedroom residence on Lot 4, Block 12, Elmore S/D #2, located at 4800 East 147" Avenue. A soils log, perc test results, a site plan, design drawings and specifications arc enclosed for your review. As can be seen from the soils log for test hole #1, the native soil between 1' and 5.5' and also between 7' and 14' below ground level is slightly sandy gravel with a measured percolation rate of much less than one minute per inch. Groundwater was encountered at a depth of 13' below ground level and the groundwater level remained stable during the subsequent week of monitoring. Because the groundwater monitoring was conducted during a dry time of the year we propose to construct as shallow of a 5 -foot wide drainfield system as can be done with a gravity system, which means that the bottom of the sewer gravel will be 7 feet above the stabilized groundwater level. Due to the rapid measured percolation rate of the native soil we propose to install a 2 -foot thick sand filter under the sewer gravel. Using a soil application rate of 1.0 gpd/sq. ft. as specified in the wastewater ordinance for filter sand, the required basal absorption area for a 3 -bedroom residence is (3 x 150)/1.0 = 450 square feet. The proposed two parallel 5' wide by 45' long soil absorption drainfields have a combined basal area of 450 square feet. The proposed system will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space - surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, J 4. 1r— � Ted Moore, P.E. — — EAST 147TH AVENUE— •. - — — — — — — — — — — — — — - — — — — — — 1 ----------------------- --- -------------- ----------- ' - -- R=100' SEPTIC WELL ; N AREA © I , R=100' ` ;, r --' � 1` J' ' PROPERLY ABANDON 3 BDRM HOUSE L EXISTING SEPTIC TANK % T.H. INSTALL AND SEEPAGE PIT .' HOUSE FDN. C.O------ #1 ` 1 1 I GREEN/qU$E TO BE MOVED% , -. -- - INSTALL ; ; . `, HOUSE 1000 -GALLON Oe/u� SEPTIC TANKo WELL0I0 R =100' 15% SEPTIC .." HED 1 AREA TO 1 r BE MOVED ` ' f 1 Y CONSTRUCT TWO (2) 5' -WIDE ; LOT 3, BLOCK 12 x 45 -FOOT LONG SOIL ABS. ; ELMORE SID #2 DRAINFIELDS w. 1.0' WASHED ; GVL. S 2.0' ISF FILTER SAND ; 100k LOT 5, BLOCK 12 ELMORE SID #2 1 ----------- -------- ------------------------ 20' ______20' EASEMENT FOR ELMORE CREEK T -- --------------- --I LOT 4, BLOCK 12 LOT 1 ; ELMORE SID #2 1 1 1 1 1 1 ------------------ - --�.��Fq �-------------------- ------LOT3,-BLOCK"G'- MBERLUX*3-------------- AV e.��.4.....<,y LOT LOT 4, BLOCK 12, ELMORE SID #2 BLOCK "G" r *149 311 �; * TIMBERLUX #3 SEPTIC SYSTEM UPGRADE SITE PLAN • I p THEODORE F. MOORE FLATTOPTECIINICAL SERVICES 1INCH =60 FEET CE -3589 i �4? 14530 ECI 10 CANYON ROAD DRAWN BY TFM /p-) A ALASKA 99516 AUGUST, 2009 �/t� -ANCIIORAGE, =esslolo � NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. INSTALL 1 �� 11 1 �� 4' DIA. F-610 FDN. C.O. 1 " � PERF PIPE 11 11 11 11 11 11 CONSTRUCT TWO (2) " 10 45'-LONG by 5 =WIDE " 11 �� SOIL ABS. DRAINFIELDS 11 11 w. 0.5' WASHED GRAVEL 8 2.0' FILTER SAND INSTALL " " under DISTRIBUTION PIPES DBL C.O. 11� "145 " MONITOR TUBE (TYP) 45 45 1iII INSTALL 1000-GALLON 11 11 SEPTIC TANK II 11 II II 11 11 II 11 .. ���' 11 1, i%Q'C ..9,F •. 11 11 11 11 ' i* 49m ' 1 4- Loi ....... ` ♦ � :• 711E000RE F. MOORE A PLAN VIEW C.O.(TYP.)���,+ ....'ph- 589 Aw SCALE 1 10 �� ;%fqs�� �• CLEANOUT MONITOR TUBE MOUND BACKFILL 6' 10 RIGINAL GROUND FILTER FABRIC 8 1_ =.5{ _ 'I .5_ 1.0' (TOTAL) WASHED SEWER GRAVEL 2 2.0' ISF FILTER SAND BOTTOM OF EXCAVATION LOT 4, BLOCK 12, ELMORE SID 32 SEPTIC SYSTEM UPGRADE CROSS-SECTION "A -All PLAN AND CROSS-SECTION SCALE: 1" = 5' FLATTOPTECIINICALSERVICES SCALE: AS Sl ]OWN 14530 ECI10 CANYON ROAD DRAWN BY: TTM I ANCI IORAGE AK, 99516 AUGUST, 2009 FLATTOP TECHNICAL SERVICES 14530 ECHO CANYON ROAD ANCHORAGE. ALASKA 99516 TEST HOLE # 1 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: —Lot 4.. Block 12, Elmore SID 112 DATE PERFORMED: —July 31, 2009 PERFORMED FOR: —.Sallie Perkins — DEPTH PL (feet) 1- SM Reddish sandy loam 2 3 4 5 6 7 6 9 10 11 12 13 14 15 16 17 16 19 GP Black, slightly silly sandy gravel GM Gray silty gravel GP Gray somewhat silty gravel Similar to upper GP stratum Water L-ri SLOPE Depth to Groundwater !��!'V'a•LCfi...c�.Z.....�i r• .fir I. t1]ORE: SITE PLAN F 0% PE DateReading 7131 _ 5 -gallon Presoak CW Time N, (n i Time ides) ---_ - 33 _ Percometer Reading —_ 233/8 _17' (Dry) _ Net Drop (inches) _--- _6 318 — 20 - — — PERCOLATION RATE «7 — (minutestinch) PERC HOLE DIAMETER _g -- TEST RUN BETWEEN —3.0 FT AND _3.5 FT COMMENTS: __ Entlre S ­gallon presoak water completely gone from hole in 20 seconds after finished pouring.—System will need sand fitter. PERFORMED BY FLATTOP TECHNICAL SERVICES. I _a ,,-"'7� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: p. / f i /09 — (Flattop 7echnicafServius 14530 (Echo Canyon 4jo9}inc(wrage, j17C 99516 Thone (907) 345-1355 Lot 4, Block 12, Elmore S/D #2 4800 East 14714 Avenue Wastewater disposal system Specifications 1.0 General: 1.1 The scope of the project consists of abandoning an existing septic tank and log crib seepage pit and installing a new 1000 -gallon septic tank that discharges effluent into a two (2) new 5 -foot wide by 45 -foot long soil absorption drainfields with 0.5 feet of washed sewer gravel and 2.0 feet of ISF filter sand under the distribution pipes. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 Unless agreed otherwise, the contractor shall be responsible for any tree clearing and grubbing necessary to complete the project. 1.5 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.6 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, and seeding all areas disturbed by the construction. 2.0 Septic Tanks: 2.1 The existing 1000 -gallon, steel septic tank and log crib seepage pit shall be properly abandoned per code. 2.2 Anew 1000 -gallon Municipally approved septic tank shall be installed in the approximate location shown on the site plan. 2.3 All pipe connections to the tanks shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot. A foundation cleanout shall be installed within 4 feet of the building foundation, or a double cleanout installed upstream of the septic tank. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating two (2) parallel 5 -foot wide by 45 -foot long excavations to a depth of 8.0 feet below ground level at the test hole. The excavations shall be laid out to preserve 10 feet of undisturbed soil between them, as well as between them and the original seepage pit. 3.2 The bottom of the excavations shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 2.0 feet of ISF filter sand (with less than 2% passing the #100 sieve and 1% passing the #200 sieve) shall be placed in the excavation and compacted by foot to create a level surface at 6.0 feet below original ground at the location of the test hole monitor tube. 3.4 Next, a total of 1.0 feet of washed sewer gravel shall be placed on top of the sand with the perforated distribution pipes laid level such that the pipe inverts are no less than 0.5 feet above the bottom of the sewer gravel. 3.4 The distribution pipes shall be 4" diameter ASTM F-810 perforated pipe. Monitor tubes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. 3.6 The backfill shall be mounded a minimum of 6 inches above original ground level. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate seed to promote rapid rcvegetation. 4.0 Inspections: 4.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the compacted sand filter material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the STEP tank, but prior to placement of insulation or filter fabric, and (5) after rough backfill and grading is complete. The septic tank installation inspection shall be in conjunction with one of the other listed inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. GREA�R ANCHORAGE AREA BORU GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME �FN'��/����''�/'yl MAILING ADDRESS Cln -f"2 3 �� G= PHONE��'"y�-3�1� LOCATION `• �'�'���' LEGAL DESCRIPTION SEPTIC TANK: DISTANCE �;�pNUMBER OF FROM WELL e_ef- "' MANUFACTURER MATERIAL COMPARTMENTS4_:�Gr INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. SEEPAGE PIT: NUMBER OF PITS Jfz_<1--7 DIAMETER — OR WIDTH��, ' LENGTH�� ' DEPTH LINING MATERIALCRIB SIZE: DIAMETERDEPTH G DISTANCE FROM: WEU,,&'- �'�`" TOTAL EFFECTIVE BUILDING FOUNDATION itI'1,- NEAREST LOT LINEtE'�^7 ABSORPTION AREA (WALL AREA) ��� SQ. FT. ADDITIONAL ABSORPTION WELL:����d/� TYPE ��d/��d���G CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL , OTHERSOURCES APPROVED DISAPPROVED DISTANCES: �h'-u�-ti�✓ - INSTALLED BY:/-4+f'r✓'✓`��T PIPE MATERIAL: �[ ti PA✓T /.eon✓ LOT SLOPE: Z e"dll_- REMARKS:/��L• Zlt` ='_ ✓ Form No. EQ -031 DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE , TANK , SYSTEM. —REMARKS DIAGRAM OF SYSTEM DATE IT- DATE W- C � APPROVED G.A.A.B. GREATER ANCHORAGE AREA BOROUGH fc f 1-h lq.7,� r ERM T NO. DEPARTMENT OF ENVIRONMENTALQUALITY 9950 3 1 / � /I , 3330"C -STREET ANCHORAGE, ALASKA 99503 ( •x,LV/1[_y- Ilyl�ly�ll TELEPHONE 274.4561 / Ne --W CO/1/J %. f SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT MAILING ADDRESS HE INSTALLATION LOCATION SAL 7TiI yr LEGAL DESCRIPTION At. 12- &-Z/Flo"te S�O �IC2 INSTALLATION OF: SEPTIC TANK SEEPAGE PIT �� DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED P eie �% S/A/6 L it .5&-Ltf FINANCED THROUGH n Q TO BE INSTALLED BY SOIL TEST RESULTS F-5- 27 / /6d Ac..T 1 0 '(L- 1 NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED SU rry -/11 NP u)A-T-C& 70 1:5 / S A/s 7-74 4- L_ AaTulEO�.✓= $'scp 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 SIZE L. TYPE SEEPAGE AREA SIZE K MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK "S / WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD / / / E PTIC TANK, ,/ SEEPAGE PIg"IT , DRAIN FIELD TO RIVER, LAKE, STREAM. l k if/ 2-&V!fI V V IJ 77?-Je- CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM d 20 FORM NO. EC -016 FOUNDATION TO SEEPAGE PIT DRAIN FIELD ■I�mommrrmmums ■ammmmuman Iin■Yn■■■■ • /J- / ■ ■■ ■■ ; ■■■IUMEMO■■■■ ■■Iiq, ■■■m9■■■■■■ ■■■-■■■■■■■■■■■ SEPTIC TANK TO SEEPAGE PIT WALL ■■� ■■■■■■■■■■■ 4[..�■■■■■■■■■■■ ■■ ■■■■■■■■■■ ■■■■� ■■M■■■■■■■ 97 ZC a� bEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. 'PD /0-v WELL TO SEPTIC TANK SEEPAGE PIT Iry DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD / / / E PTIC TANK, ,/ SEEPAGE PIg"IT , DRAIN FIELD TO RIVER, LAKE, STREAM. l k if/ 2-&V!fI V V IJ 77?-Je- CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM d 1 CERTIFY THAT I 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. r� DAT �z 1� / - APPLICANT'S ■■■■■■-� FORM NO. EC -016 ■■■■■■■■■■■■■■■11'I ■■■■■■■■■■■nIow 0 r. ■=a■■■n� slats ■ ■I�mommrrmmums ■ammmmuman Iin■Yn■■■■ ■ ■■ ■■ ; ■■■IUMEMO■■■■ ■■Iiq, ■■■m9■■■■■■ ■■■-■■■■■■■■■■■ ■■� ■■■■■■■■■■■ 4[..�■■■■■■■■■■■ ■■ ■■■■■■■■■■ ■■■■� ■■M■■■■■■■ ME 1 ■■■ ■■/ENOON -w 0M ONES ■ ILI 'A"ii—aw .O■■ NOON! J��l�■■■■■■ ■■■■■■■■■■■■■■■■■■ :::C:::::::::::MENNEN ::: 1 CERTIFY THAT I 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. r� DAT �z 1� / - APPLICANT'S SIGNATURE. FORM NO. EC -016 MUNICIPALITY OF ANCHORAGE, -1 ' DEPARTME(""OF HEALTH AND ENVIRONMENI ° PROTECTION 825 L Street, Anchorage, Alaska •99501 279-2511, ext. 224 or 225 #1: Time A; Date Insp #2: Time Date Insp Date Received: April 15, 1977 #3: Time //;�L Arn Date 6-) 7-17 , . es. Insp nx. REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: First National Bank of Anchorage Mailing Address: 2. Property Owner: Post Office Box 4-2090 99509 Phone: 274-1521/42 Kenneth Perkins Mailing Address: Star Route A Box 325-B 99507 Phone: 277-5571 /el abp'— 3. Legal Description: Lot 4 Block 12 Elmore. -Subdivision #2 (C 4: Single Family Residence: (XX Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Public unity System: ( ) Individual Well:�r (x# Permit # Depth of Well Well Log on rF Construction Bacterial Analysis 0(14 6. Sewage Disposal System: On-site System *x) Public Utility ( ) Permit # Installed / q 7 Installer Septic Tank Size 0 ' Manufacturer Absorption Area Soils Rate g s Material 7. Distances: Well to Septic Tank 4/ C D to Absorption Area to Sewer Line ©/ /_ , Nearest Lot line -41 A-' Absorption Area to Nearest Lot Line ,off lL , n MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION J 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 / REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: VA FHA % CONY 2. Property Owner: Kenneth Perkins Mailing Address: Star Route A Box 325 B Day Phone: 277-5571 3. Name of Buyer: Kenneth Perkins Mailing Address: Star Route A Box 325 B Day Phone: 444-6844 4. Name of Lending Institution: First National Bank Of AnehorageISo +rh Unf pr Rr Mailing Address: P.O. Box 4-2090 Phone: 27L-1971 ext —&2 5. Name of Realtor or Agent: none Mailing Address: Phone: 6. Legal Description: Lot 4 Blk 12 2nd Addition F!more Suhd*viaion Location: NHN 147th ave. single family dwellin � 3 7. Type of Facility to be Inspected: g No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual x 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 72.00317/76) Individual (on-site) x My�'�gn fir°FPT o of R RIS19jj'0" d . • �1 Page Two ' ' Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water facilities JF ; r Legal Description: Lat 4 Rlncrk 19 rlmor Cuhdivininn e? Comments: Affadavit Attached: .U) Letter Attached: ( ) Approved: Disapproved: Department Worksheet: /5r �� ZN J Z r �� 'SP C� ' STATE OF ALASKA IOec INC ADHw•IAB-1w � .. • D'"15JRTMENT.OF HEALTH AND WEI'O*)iRE Lots. I". 24 hour+ '. DIVISION OF 'PUBLIC HEALTH = % Y x`71 BACTERIOLOGICAL -WATER -ANALYSIS • DATE �- OFFICE Brtlliont Green Records in this offke indicate this WATER SUPPLY to be ef: ❑ INDIVIDUAL Q"' OTHER 24 hours - PUBLIC SEMI-PUBLIC :7 Sati+loclory ❑ Ouesliom,bla ❑ Un+eli+loclory Sanitary status. A8 hours REPORT RESULTS TO t1 -- �- _`' D • - � "'- _ Anolysk shows this Water SAMPLE to be: NAME - 0,1hlisbdor O Unsatisfactory. ADDRESS CITY ADDRESS(_ OF SOURCE �.• / t e T 1. - SAMPLE COLLECTED BY - i _ om DATE COLLECTED / TIME COLLECTED Fm Sennett C.N.cl.d From O IClhen Tap O 8athroern Tap ❑ M,emwl Lae O Olh.r (vol COMPLETE THIS SECTION UNLESS OTHERWISE INSTRUCTED We*. O Das O Driven O D,;"" O BHed SOURCE: O Seeing O CW.m O Oren Dug Well or Cisft,n Canstr.dan: Mala Welk . 11 wood 11Cors'...0 Meal ❑ IR. O Cerurete Tell • O Wood O Corers O M.lel O 0". Top , LOCATION: O In Res.m..f O Re•emant DOW ❑ Under Hwa O I. Yard Owwr DISTANCE TO: ranock aoi, ope Nor F.H.F..1.1 Feet. file S.etoee C.w F<Nd F.w. Ni—Fest. Fool Fest. Privy Fol Ore, hssiba Sewces of Conemina ion MATERIAL Building Sewer . O iron O Wood O Tia O Frr.O CAsbe� ❑ Hes6c Join Mol.rial _ T. GENERAL Does Water Sesame Muddy or Discolored? • O Yes O Ne Morn~ .1 Well I D.tuh Well Caine Meanal Diarn.a. D.tsth Length at Water Depth Drop Fa. From Sopors F..r. P~ tOCAffON: O In Well O ORsat In ❑ In Bom ,..nt O In LER?Y Bae. mat Room ❑ d Well O Other PURPOSE OF EXAMINATION: Illness Suspected? O Yes O No N.. Scarce at S.Poly? O Yes O No Npairs a System? ❑ Yes O No READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE w R an ••UnsaKdactory or ••Owstiunoble • status is indicated above you should take immediate Mt m as recommended below. 1 —l. Notify consumers woter is polluted. Rail or chemically beat this wale, as a.0mod in the unclosed leafless '•Cn,.— R Pure.•• _2. Increase chlorination sufficiently to meat rewmm.nded residool stendards. DeMmine scarce of contemiralion and lobe action ....sorry to mairnbin a sake wear supply of ON limo. _3. Check chlorin.tirm and oder mechanical equipment. Mabe certain it is functioning properly. _4. II after siteclsng equipment a dhs4hecling residual is not obtained, please wire this effect for emergency assistance or advisory services.' —S. 11•is is a su,fase water saorca and subject to pollution by man and animals. An approved water supply source should be developed. �. Improve your O spring O dug well O driven well O drilled well O ciow.. _7. Relacose ynur well to a sale location in reationship a your sewage dispel ayw- . O see tMiesore B. Sanpie Ip Iong in bandit: sample should not be over 48 hours old of Aaamkation to indkate reliable ,*,ahs. plume send new so"[.. ❑ Bottle Maar• in bomb, pteme send new temple. _9. Compel your mare d O Local Health Department or O Als sba Division of Public Health• wnilolion office lar ltullelins, cons.bolion and aaklawe. SANITARIANS REMARKS I a.p.a.v.. BACTERIOLOGICAL WATER ANALYSIS RECORD r am Dost Rec.ivad � Time Received .. 'om lob. No �b Loctose broth - INC INC INC IOec INC I.O,C 0.1 cc 24 hour+ 48 hours �- Brtlliont Green 24 hours A8 hours EMB AGAR Lad.,. Broth, 24 hrs. 48 tin. Gram's stain Coliform D.nsip jMosf proboble No. per 1 OOCc.' MF r ... K Repded by / /;.-� Dote �.. inn This analysis �dkales CoBbrm Organisms la be: �!aI Present L DIRECTIONS FOR COLLECTING SAMPLES OF WATER FOR BACTERIOLOGICAL EXAMINATION Read Carefully and Follow Instructions Exactly Bear in mind that water analysis deals with materials present in very minute quantities. The least carelessness in collecting and handling may give rise to results which are misleading, Arrangements should be made to have water samples reach the laboratory as quickly as possible. After 48 hours the significance of the bacteriological analysis is impoired.'For obvious reasons the laboratory prefers to receive samples in the early port of the week but is willing to accept samples of any lime. In collecting samples from TAPS or PUMPS proceed as follows: (a) Thoroughly flush tap or pump by allowing water to run freely for five minutes. r (b) SIM off water and flame the oullol with torch or burning paper. The flume should not be merely passed over the outlet but should be applied until fixture shows indication of being hot. Flume should be directed against inside edge. (c) Open fixture so that a small stream flows. (d) Remove bottle from mailing lube. Hold bottle by the lower halt in one hand and with the other remove the screw cap with the fingers, leaving paper protecting cover in place. Fill the bottle to the shoulder. Repluce cap with paper cover, screwing firmly into place but do not apply pr.usure which will split cap. (e) Pack bottle carefully in mailing tube enclosing this cwnoleted information sheet. In collecting samples from STREAMS and RESERVOIRS proceed as follows: (a) Remove cap and hold bottle as described under (d) above, (b) Collect somple by holding bottle in a stunting p,,;ition and sweeping it below the surface in such a monger thul woler that has been in contucl with the band is net introduced into the bottle. Avoid collecting surface scam and bottom sediment. DO NOT COLLECT SAMPLES FROM FIRE HYDRANTS, YARD HYDRANTS, DRINl LNG FOUNTAINS OR SIAi7- LAR OUTLETS 117HICH AR{: DIFFICULT TO DISINFECT PROPERLY. STERILE WATER SAMPLE BOTTLES ARE AVAILABLE UPON REQUEST FROM, Dept. of Health 8 Welfare Dept. of Health 8 Welfare Dept. of Health $ Welfare SOUTHEASTERN REGIONAL LABORATORY SOUTHCENTRAL REGIONAL LABORATORY NORTHERN REGIONAL LABORATORY POUCH J 527 EAST 4th AVENUE 604 BARNETTE STREET JUNEAU, ALASKA 99801 ANCHORAGE. ALASKA 99501 FAIRBANKS, ALASKA 99701