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HomeMy WebLinkAboutPRATOR BLK 12A LT 3Prator Block 12A Lot 3 #017-093-11 k/0 RlYO - (010 Development Services Department Building Safety Division �• 4 On -Site Water &Wastewater Program 4700 Bragaw Street P.O. Box 196650 Mark Be ich Anchorage, AK 99519-6650 ` ' Mayor www muni orA/onsite (907)343.7904 Pump Installation Log Well Drilling Permit Number: SW_ Date of Issue: Parcel Identification Number: -113-11 Legal Descripti P operty Owper Name S Address: NOADY- +CLit - 1�LA n -� 3 laA L3 G �D a r utry 1N' Pump Installation Date: 6 .07 i Pump Intake Depth Below Top of Well Casing:feet Pump Manufacturer's Name: pd'f'je r< Pump Dlodel: CIVS/a V s Pump Size hp Pitless Adapter Burial Depth: feet Pitless Adapter Alanufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? n Yes ❑ > N'o/ Method of Disinfection: Str�iI;M X/5172`�[/;��— Comments: Pump Installer Nat ANCHORAGE WELL & PUMP SERVICE, INC 330 EAST 76TH AVE. ANCHORAGE, ALASKA 99518 (907)243-0740- FAX:(907)243-0742 E-MAIL: pumpmanjim@att.net Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Municipality of Anchorage Page _L Of 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 Pertnil Nurnber: 5 W `I e) O 16 g PID Number: O I•%"" O 013 — ( / Name:// pp hr 1 S OCLZII Wastewater System: O New O Upgrade Address 131 Bei `� a. uc�er • q S O ABSORPTION FIELD ' Pbone Nn.ol edrocros- 6.3 , 3R a 0 le. 6c)4 4 %Deep Trench U Shallow Trench Deed U Mound U Other LEGAL DESCRIPTION Solinadng �e S #J GPD/Sn FI total Depth from original glade: Lot: ,,,� Block:^ Subdivisions: riJT 1 �� — Ceplh to pipe bollom Item orlginalgradet �.! Ft Glave! depth bA".Ath pipe O Township! ranger Section: rill added Above originalgrbA.:� �d Ft. Ft. Gravel lengitr/s/��}t ! l.' F1. WELL: kNew 11 Upgrade Glavel width' Number of lines: OONae beleee, Fres Classiacauon (Prlvste.^ a.q: total Depth: Cased lo- Pr 1 �a�p 5 ii C.� JQO • FI. S FI. Ft total absorption area' ` FI. Pipe mat.0ae Oriller:� . Dale Drilled: Slalle Wale, Levet �.111.1 � a- saws Ft. SO. Ft. InlallAC O w.-1P r /rl ID Date k,laaed: K_7-e 00 yield. pu Set al:Cnh,p 141 Above Ground' 16 GPM G3, 5 'F,. Ft. TANK SEPARATION DISTANCES )(Septic DF,olding ❑s.T.E.p. TO Septic Abaaalkn From Tank Fletd Lm Fb"IN ubIkR'rinle Station Tank Be n.Llr,ea Ma ufeeturv: Capacity In gallon!; �� + ne �"an� l/3 Well I D I /�A, w� ` Material: ` I e Number of Compartments J"(' Surface Water '0011 00II 1 n( LIFT STATION Lot Line [" \ J �' \ Size In gallons: Manu er Foundation 4 vv �Q\ a 'Pump on' level at: 'P ' leve , Ifigh wAter alarm at: Cut � Alun 0 rump Make 1 Electrical Inspection! Performed by: Remarks: BENCH MARK Locsuon and Descilptlon: L•>•r1F., (s N (( i Assumed Elevation; 00 E S 6 S ENGINEERING 17034 Engle River Loop Rud, No. 204 Inspections performed by:Ena Dates: Isl (,- 6-0o � rI ASFS�` s'• 2nd 6-7--oD Department of Health and Human Servicyad� a Sr-......, A v \ ROBERT G COWAN C � st.ticE'eaol��`� PP o 111<: •..,, Reviewed and approved by: Dale: IM3Ire, III LAMA sA PERMIT No. SW990168 PACE 2 OF 3 Municipalit of Anchora e DEPARTMENT OF HEATH AND HUKAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 O Tele hone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WPELL INSPECTION REPORT LEGAL LOT 3, BLOCK 12A, PRATOR S/0 P.I.D. No. 017-093-11 — — — — — — — — — — — — — — — — — — 10' TELEPHONE & ELECTRIC EASEMENT — — — z I CO2 w �� I I A-� TH#2 DBLt & D81_2 "V) ��'� ~� NEW 1250 ST2 Li I z I GALLON SEPTIC TANK STI 8 0 -1 W I ? FCO G o w I C01MT1 TBM S O i��p F `c Z! l 3 I O�oJs O OX- l Q� I C A Do Li M I C to OI °o. I \ X90 \/G \ SCALE: 1 40' lok , ... »...., .5N ,sof mY•` 4 r \ LOT 4CE-e8o1 y ROBERT C. COWAN j" y PERMIT No. SW990168 PACE 3 OF 3 Municipalit of Anchorage DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Tele e hon343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3, BLOCK 12A PRATOR S/D P.I.D. No. 017-093-11 FINAL GRADE FINAL GRADE ST1 ST2 99.4' 93.6' I NEW 1250 GALLON SEPTIC TANK MT1=78.7' MT2=7£3.7' C01=90.7' CO2=93.1' 2" INSULATION • :: A NO WATER FOUND 72.7' B.O.H. 2" INSULATION 93.4' N. T. S. ROBERT C COWµ 1C,\ CE -8301 +1i Zi a, "� A B C FCO 16.0 23.5 — ST1 24.0 S-0 0 — ST2 31.0 35.5 — DBL1 35.5 4 0.5— 6BL2 36.5 41.5 — 001 — 119.5 109.0 MT1 — 119.5 108.0 CO2 95.0 — 5.03.0 MT2 88 1 93.5 — N. T. S. ROBERT C COWµ 1C,\ CE -8301 +1i Zi a, "� FROM : FAX NO. Aug. 08 2000 07:30PM P1 i ,qunicipality of Anchorage Department of Health and Human. Services - 825 "0 Street Pick MySrrom. P.O. Box 196650 Anchorage, Alaska 99519.6650 Mayor Permit Number SW V 0169 Date Of Issue -6 -3-2-1-01 Parcel Identification Number01 -e 3_S_-leeoft Date Started ,-L2 _ff Date Completed 1-27 --L9 Is well located at approved permit location? XYes 0 No nrr.r-Ivrr► Legal Description Block Lot Property Owner Name &Address: a�Cc�'✓ SEP 11 2000 C4,;5 1316- feAtIV:,4p�^' Municipality of Anchora Dept. Health & Human Son to ices 11ymaGSe A1a�@ a .' S'G. 12-A 3 7 Borehole Data: Depth Method Of Drilling: R air rotary 0 cable tool Soil Type & Thickness & Water Strata From To Casing Type: Wali Thickness_Y, inches Q - Z S%icX Q Z. Diameter inches, depth /yv.9feet Liner Type: Diameter inches, depth feet d z Casing Stickup Above Ground: '2 ' feet 4V r Z p static Water Level (from ground level):_,t'2 r9 " teat 3,feet after- hrS. pumpin pm Pumping Level: 6, r(�ig� C G6>L reL Recovery Rate.* /6 pm a s'yvl G'/ .cvL 2.41 '0 Method Of Testing: A; r- Well Intake Opening Type: 0 Open End 9 Open Hole CID.Af SD G� 0 Screened: Start feet Stopped feet g Perforations Start, 7 m • feet Stopped G c/ • feet r d ro*.PL UJrf �o Z ` 4 1Jr+'.I .1rem 2 , $ 5. GroutType: /;,w rvi4-e Volume /ao Depth: from 6 t� `-feet, to„ ff ' feet s, -IlJIS,/ S y I Pump Intake Depth: 9 ' i feet Pump Size J:g hp Brand Name1trUPirS Well Disinfected Upon Completion? R Yes 0 No t2 c/ ad j'oGk !( / o$ Method Of Disinfection: 1-'* /oRTbx Aau comments: b✓ G a-/ P,✓L o 4� 6 A^,; Q�ow y o,ic acK petll tv,'� ar.ra O% 20 fpm lir rvi�b//af �i3 /o .., �c/ AJ— Get( 20� 2/ Wetl DrillerName�D_� y / Company HfdyS Mailing Add,.—/ —/0—V � /�rX�i,`!se ��: ✓� / city Awek • state_ SZ Zip 7 5`1to D00' 1,1[.1.0 a dvb[% 61aV( 2/ 11n sG D -� 1 J'e S J. n 0/ Pf" s.i✓ Attention: The well duller shall provide a well log to the property owner wfthin 30 days of completion and the property owner or.the well driller shall provide a well log to the Dept. of Health & Human Services within 60 days of completion. 1V S& Date: 41F100 ROBERT C. COWAN. P.E. ROBERTA. SHAFER P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 HEA.THA/THORITY A MWAS Municipality of Anchorage SEWER&WATEA DEPARTMENT OF HEALTH AND HUMAN SERVICES ►WNEXTENSIONS 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 SEWER a WATER NSPECTION REFERENCE: 10—) (FLOCK 1A A 02¢To Q ENCINEERMSILDES AIOREPORTS The septic inspegtions for t�a referenced property were C/ G/ e c performed on and C/71oo Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection WEUINSPECRON Report we are waiting for the dsBvILr S,R✓4 Y to be A ROW TEST completed. If we may be of further service please contact us. SITEPLANS Sincerely, 1/ 1_/&Z F4ADDES*N Robert C. Cowan, P.E. SOIL TEST PERCOLATION TEST STRICTUW,a MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSISTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM /WATER SUPPLY PERMIT Initial Permit Number: SW990168 Legal Description: PRATOR BLK 12A LT 3 Date Issued: Jun 30, 1999 Expiration Date: Jun 29, 2000 Parcel ID: 017-093-11 Design Engineer. 0003 S & S Engineering Site Address: 006640 MARQUEZ CIR Owner Name: Chris Bacon Lot Size: 53265 SQ. FT. Owner Address: 1315 Bennington Avenue Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage , AK 99508 - This permit is for the construction of: ❑✓ Disposal Field Q Septic Tank ❑ Holding Tank ❑ 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 DHHS at least 2 hours prior to each Inspection. Provide notification by catling (907)343-4744(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 By. Issued By: VV L Z�- Date: Date: 0 — S& ROBERT C. COWAN, P.E. CML ENGINEERS (907)694-2979 FAX(907)694-1211 June 17,1999 HEALTHAUMORM A°P"OV&S MMCIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 SEWERSWATER Anchorage, AK. 99519 MAMECTENS*NS REFERENCE: Lot 3, Block 12A, Prator Subdivision SEWERS WATER VaPEOT)w Request you Issue a permit to drill a well and Install a septic system to serve the proposed four bedroom dwelling on the referenced property. MNEERMRrssTUMS ANDAEPO Two test holes were excavated and percolation tests performed. The approximate location of the test holes and percolation tests is located on the attached site plan. At the time of excavation, 10-24-97 water was not found. After seven days of ground water monitoring, no water was found. STCOW We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The SITE PIANS construction of this system will not prevent any future development on any of the adjacent properties. ROAD DESIGN If you require additional information, please contact us. Sincerely, soarEsr la1z. Robert C. Cowan, P.E. PE9COL`RON RCC/bjj TEST Enclosure STRUCTURAL WCHAWCAL MPECD" ' CN SRE WASTEWATER CtSPCSALSYSTEM CESIGN 17034 NORTH EAGLE RIVER LGOP i SURE 204 + EAGLE RNER, ALASKA 99577 LOT 3, BLOCK 12A, PRATOR S/D I .,�m B.J.J. I R.C.C. rring DESIGN CRITERIA: 4 BDRM = 600 GPD SOILS = 0.45 GPD/SQ.FT. 600/0.45 = 1333 SQ.FT. REQ'D. P7 DRAINFIELD CRITERIA: 12.0' DEEP Z 10.0' EFFECTIVE g 3.0' WIDE a 67' LONG I w V1 UNDEVELOPED' z z W O AIL. PORTIONS OF SYSTEM 1 WITH LESS THAN 3.5' OF COVER REQUIRE INSULATION. 06-15-99 1 1 OF i I I BLOCK 14 I CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. 10' TELEPHONE L ELECTRIC EASEMENT —TJ'---------- WI Ayl HIE�'Q' WI /� I ,•/�'�' I TMA 107.157 DOUBLE CLEANOUTS' PROPOSE 250 GALLON SEPTIC TANK UP Cl �I W �II �I=Ip a T 20' MIN. INSTALL =I > I ISI WI ^ I oI I �.I I 100' YELL RADf � I qf\ \ fqf\ ATHIII L11T 4"�SEP`\ \ i \ T„x ROBERT C. COWAN I .� O�f CE -em 100' WELL RADIUS SEPTIC AREA LOT 2 ., Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: C -61R1 S 13A .G ON DATE PER LEGAL DESCRIPTION: 1-4 T 3 i3LK JX A P,14741%� Township, Range, Section: (FEET) 1 -Shc1 2 3- 4- 6-1 4 61 /. , W] 1-111 ST goI-OL ORbe�lcl d 1rL•7- g 2 C M �RAJCvLIY/ JArA /ML SIL7- 13.d.q. 20 -{ I ILEI L/ PERCOLATION RATE 1-(minutevmch) PERC HOLE DIAMETER 6 .r 7 TEST RUN BETWEEN y FT AND 'R FT COMMENTS VAI^-'� MOwt?OA, ,6 r'JAJ 1, Od-e ROrig 6f T 1-4 He4 5&r AT /7 104EF . PERFORMED BY. S & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle RpilveAr1 Lruoo�p�;f� p �����,, r� / 1 ACCORDANCE WI 17034 ATA-TE Dk Uy95 4-GIJIDEl�17ES IN EFFECT ON THIS DATE. GATE: -- t o 3 �� 72 -OW 4/85) ��99�� 99a77 WAS GROUND WATER d ENCOUNTERED? S IF YES, AT WHAT L DEPTH? O P DepU to WbuA�II�rrp G'� i E Monitoring? • ry DSu: '06/c/1 S Reading Date Gross Time Net Time Depth to Net Water Drop %'Rh oA.z y r y . nL 7 T/t o� RECEI CEO Department of Health and Human Services nr„ JUN 22 1999 P.C.B. 196650 Ancho825 L St. Site 502 age,uAK 99519-6650 oept Re Paltry th & Human Sertgjea fax 3434786 June 22, 1999 Dear H&HS, 1 spoke with you regarding the installation of my own septic system at Lot 3, Bk 12A Prator Subdivision. My related experience and qualifications for doing this follows: I have installed other systems on my home in the Mat -Su Valley and was involved in the installation of our 20 -man camp system at the Arco -Beluga River facility across the inlet. I have been employed there as a Fleet Mechanic for nine years. As we have a limited crew, I am often required to operate equipment in the field as well manage the maintenance and repairs and operational checks of our on-site equipment. This includes loaders, backhoes, excavators, dumptrucks, vacuum trucks, dozers, and other miscellaneous equipment on an as -needed basis. I have also worked with equipment in mining and other ventures over the last twenty -plus years and can supply those details if necessary. 1 have hired S&S Engineering (Bob Cowan) to design and engineer this system. They have faxed me the site plan and tell me that they should be submitting the engineering to you in the next few days if not already. If you need further information, please contact me at home at 258-3411. Thank you for consideration of my request. Sincerely, Chris B. Bacon 1315 Bennington Drive Anchorage, Alaska 99508 (907) 258-3411