HomeMy WebLinkAboutTRAILS END BLK 5 LT 9Lo-
NAME
DE,0RIPTIO Bcoc.
f~"~ MUNICIPALITY OF ANCHORAGE '~
'~ ON~ITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOCATION
DISTANCE TO:
M a n u f ac t ~ fl..~-lOIf..~X~.~
DISTANCE TO:
DISTANCE TO:
No. of lines
To~ of tile to finish
Length ~rdth
Type of crib
DISTANCE TO:
Class Depth
Abs°r Pt~l°~..~r~a
IF HOMEMADE:
Dwelling
Width
Materiel
i Foundation
h line Total length of lines
Crib depth
foundation
Nearest lot hne
EDROOMS
lit NO.
Liquid depth
PERMIT NO.
Liquid capacity in gallons
n lines
PERMIT NO.
Total effectiw absorption area
DISTANCE TO:
D UPGRADE
Nearest lot line
PERMIT NO.
Absorption area(si
Distance to lot line
Septic tank
OTHER
PiPE MATERIALS
SOIL TE~T RATING j
C
I A~PROV ED DATE
LEGAL
72-013 (Rev. 3/78)
MUN I C I PAL I TY OF ANCHORASE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET~ ANOHORAGE~ AK ~501
2~4-4720
ON--SITE SEWER & WELL PERMIT
PERMIT NO:
DATE ISSUED:
840&42 ENGINEERED DESIGN
07/50/84
APPLICANT:
ADDRESS:
CONTACT PHONE:
LEGAL DESCRIP:
LOT SIZE:
FRANK BETHARD C/O S&S ENGINEERS
7125 OLD SEWARD HWY
ANCHORAGE~ AK ~502
549-6561
SUBDIVISION: TRAILS END LOT: ~
SECTION: 24 TOWNSHIP: 12N RANGE: 5W
22800 (SQ.FT. OR ACRES)
BLOCK: 5
I certi[y that:
1. I am [amiliar with the requirements [or on-site sewers and wells as set
[orth by the Municipality Of Anchorage (MOA) and the State of Alaska.
2. I will install the system'in accordance with all MOA codes and regulations,
and in Compliance with the design ~riteria of this permit.
5. I will adhere to all MOA and State of Alaska'requirements for the set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or-any adjacent or nearby lot.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILE NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; -AND (5) THE
ELECTRICAL WORK MUST BE DONE BY A LICENSED E~ECTRICIAN.
SIGNED ~ ~ _~--~~__~_~/' DATE: ~/__~_/~/~_~
MUN I [; I PAL I TY OF' ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREETs ANCHORAGEs AK ~501
264-4720
ON--SITE SEWER& WELL PERMIT
PERMIT NO:
DATE ISSUED:
840576
07/1&/84
APPLICANT:
ADDRESS:
CONTAGT PHONE:
LEGAL DESCRIP:
LOT SIZE:
MAX BEDROOMS:
BETHARD CONSTRUCTION
SRA 16~8K
ANCHORAGEs AK 9~516
545-1615
SUBDIVISION: TRAILS END
SECTION: 24 TOWNSHIP:
22080 (SQ.FT. OR ACRES~
LOT:
RANGE:
BLOCK:,5
Listed below are
the options available to you in designing your septib.
sys. tem. Choose the option'that best fits your site.
TRENCH BED W. DRAIN
DEPTH TO PIPE BOTTOM (FT.) 5.0 ** , 4.0 5.0.**
GRAVEL DEPTH (FT.) 5.0 0.5. 5.0,
TOTAL DEPTH (FT.) 6.0 4.5 6.0
GRAVEL WIDTH (FTC) 2.5 20.0 5.0
GRAVEL LENGTH (FT.) ' 89.0 ** 40.0 62.0
GRAVEL VOLUME '(CU.YDS.) ~8.8 ~.& 40.1
TANK SIZE (GALS) ls000.0 ** 1,000.0 ** 1,000.0 **.
SOIL RATING (SQ.FT./BR) 177 177 177
** DEPTH TO PIPE BOTTOM < 5.5 FT. REQUIRES INSULATION
** DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION
** GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT.
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
EACH)
I certify that:
1. I am ~amiliar with the requirements ~or on-site sewers and wells as set
forth by the.Municipality of Anchorage (MOA) and the State of Alaska.
2. I will install tMe system in accordance with all MOA codes and ~egulations~
and in compliance with the design criteria of this permit.
~. I will adhere to all'MOA and State of Alaska ~equipements for the set back
distances ~rom any existing well,.wastewater disposal system or public
sewerage system on this or any adjacent o~ nearby lot.
4. I understand that this permit is valid for a maximum o[ 5 bedrooms and
any enlargement will require an additional permit.
LIFT STATION IS
IF A
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2)
WILL NOT BE.APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND
ELECTRICAL WORK MUST BE DONE~BY A LICENSED ELECTRICIAN.
SIGNED' -~__~.~/~ DATE: Z~_~_~_~ ....
APPLICANT: BETHARD CONSTRUCTION
ISSUED BY
INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
AS-BU~LTS
(5) THE
i ENG~INC. SOIL LOG
.2so~o sEw,.~.,~..w,. P ERCO LATIO N T EST
ANCHORAGe, ALASt(A ~02
(90~ 349.6561
11-
12--
13--
15--
16--
17--
18--
19-
20-
DEPTH
(FEET)
~.~""SOIL LOG
PERCOLATION
TEST
.~__BEDROOMS
SLOPE
ENCOUNTEREO? L
E
DEPTH? -- .
JOB NUMRER:
SITE PLAN
w E
Gross Net Depth Io Net
Reading Dale Time Time Waler Drop
~ '~/~7 fi; 71 o ~, ~"
~~ ~:+~ _e ,, ~y~; 3/~'
7 /o:/~lO ,, +y+"~/~"
Io
PERCOLATION RATE /J,"~ (minules/inch)
TEST RUN BETWEEN ~-,~-'. <,.~.__ FT AND .~ ,~--~ FT
DATE:
~MUNICIPALITY OF ANCHORAGE ' ~'
..' . · n PERCO'^T,O"
DEPARTMEN'IL 0'F HEAL?H AND ENVIRONMENTAL PROTECTION TEST
~2E I.'~re~..Anehm~, ~a ~1 ~720
~OIL'S LOG -- PERCOLATION TEST
PERFORMED FOR:
DATE PERFORMED: ~,- ¢! ° ~'i I
1
2
'e'
SLOPE
SITE PLAN
10~
11~
12
13
14.
15-
16-
17-
18
.19
:. 20.
~L COMMENTS'
PERFORMED aY:
WASOROUNOWATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
'1
- PERCOLATION RATE /~'~'~-' 0'~- ~"~ it-(~u'teslinch)
W. _R WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geologlcol 8, Geophysicol Surveys
~JDo..h Sa""'"" LOtID'O'_' ~ V''''" S.,". ,o. To--"'g,O,o "'"''O~D
~[01STAMCE AM0 DIRECTION FROM ROAD INTERSECTIONS S. OWNER OF WELL: ]"~E~[~ ()e
'Fill: bro'~;z ~nd L re, ~ lZ~ ~.g,, OJ,,,,d Oso,,d
%';3:oF: ~ ~m. t. CASING: 0 Th,,.ded
f~l~;~: ~l'O.';~ CO~.O~, ~Cd~l~J ~ ~ dlom. ~ I,. to ~ ft. Depth Weight 1~ tbt./ft.
0 Abovt Or 0 Silo, I0,4 lurfocl
~ ~H: 0 'id~ ~0 ft. aft,* ~ hrl. ~umping 1~ g.p.m.
MQle,lal: ~fi,at Cern. hi ~Other:
o,-.. o-, Dc-,,,,,-,
Foc~ Drilling AA /53
_R WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES -
Division of Geological 8 Geophysical Surveys
Drilling Permit No.
(Plea•o complete either Is, IE or Ic.) A.D.L. No.
1 Baroup° Subdivislon Ler Block 10. %gtrs. Section No. Township N� Ranee ', ..E❑ ""'la" - ..
'
Anch' T q r n 1 —of_af_a}�
a❑ w❑
IC. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS
S. OWNER OF WELL: Frank 0o .i)ethard .'
% SRA': Box '
.:1698—K
Address. .
Ancli. il' -tilt: 99507' -
Street Address and Area of Well Location
- -
2. WELL LODFeet Beler
Sur lee•
d. WELL DEPTH: (final)
S. DATE OF COMPLETION
5'7 /1.
A �• )9 _ 81
Motorial Typo Tap Bottom
_
Organic: dark brown calor and s1 it. 0 3
B. acable tool ORotory C]Driven 0Duo
Q Auger ❑ Jetted : Q Bored [3 Other I
Till: brown and hard. 3 14
Alluvium: brown color' medium 14 41
?.USE: ElOo esus "..Q Public Supply . O Industry
of . rri gotten -0 Reagarge. 0Cam :terlset
Q lost wall ,: Q Other:
hardness.
Sand U Grr:nvel: broth color, mitl 41 42
water; 5 gpm. ...
S. CASIN : C]Thr•ad•d . E kW41d•d
diem. - in. to 55 n: Depth , r,woighr 17 1'
:. be./
clam. In.'. ta.. .. ir: o.gr� mlekup fr.
Alluvium: brown color, medium 42 : 47
ardness.
Rodro"c'c:' brown End hard .. 47 57
S. FINISH OF WELL: ,open 0 a
?ro. olo;a .,"
Bedrock!. brown -color •..with::wata , --'-•57. •=59
r' Bler/Mesa Slce �Length + --
�Set
Oet oen ft. and it:
•.-Baa Ytilling "' 'Grevdjaeb
- -
...,.....0 ,NATER LEVELr- arz '34 •�}1.,7r,'$ iA984
;'Q Agave 'er Q odd. lana Surface oat•
.1 paid us ad:' band' line
Not 1),41024 jyj qgwN0111ANII
PUMPING LEVEL below land surface and VIlLD .
- - 50 n. i' actor :: 2 bre.'' pumping' 10 I.P.M.
T F(Ljy3H O 'tela
BOY
fr. .. offer hr.. Pumping _ I.P.M.
12.411OUTING Wall Grouted: Uy [] No
Material: 0 Neat Cement [] Other: natural
.. _
"l
13. PUMP, (If available) HP -
Length of Drop PIP& 11. capacity g.p.m.
-.
-0 Subm. O Jet •O Centrlllcal O other -
14. REMARKS:
Ig. WATER WELL CONTRACTORS CERTIFICATION:
IS. Water Temperature 0 F - 0 C
This well was drilled under my )u,ledlcnon and this report is true to the bestel
m1 knowledge and belief;
FoEs Drilling
A^, 756
. Registered Business Name Contract License Number
. ,ky Ake. 99 JJ7
Address: SBj Box 753,) Ch;la
signed: .•1 ••Y 0�n �. rl %i,.—
Date'
` Aulnertrea R•pr•untafive
Farm 02•WWR (11/01) Copy Distribution: WHITE -State 0003, PINK -Driller, CANARY -Customer
HUNI¢IPALII'Y OF ANOHORAGE
DIVIS~ON OF ENVIRONHENTAL HEALTH
DEPAR~I{ENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FO~ HtM, LTH AI]THORITY APPROVAL CEI%TI~FICATE
1. General Infor~ation
Application Date / ~ /
Legal Description (include lot, block, subdivision, section, township,
(a)
Location (address or direcCiows)
(b) Applicants Hate ~-'~Z,~J/~ ~f-~/~/a,.) Telephone - Home Bus~ness ~/~-
(c) Applicant is (che~k one) Leai~. Institution ~ ; ~er/b~lder ~;
Buyer ~; Other ~ (~platn),
(e) Real Estate Co. & Agent ~o~
Address
Telephone
(f) Mail the HAA to the following address:
Type of Residence
Single-Family ~ Multi-Family
Number of Bedrooms ~
Other (describe)
3. Water Supply
Individual Well ~ Community ~ Public
Note: If community well system, must have written confirmation from the State
Department of Environmental Couservation attesting to the legality and status.
;.
4. Serape Disposal
On, ite.~ Public~ Community~ Holding Tank~--~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2]
5. En~ineerin~ Firm Providing Inspections~ Tests~ File Searcht Data and Information
As certified by my seal affixed hereto and as of the validation date shOvU below,
verify that my investigation of this Health Authority Approval shows that the on-site
water supply and/or wastewater disposal system is safe, functional and adequate for
the number of bedrooms and ~ype of structure indicated herein.. I further verify that,
based on the information obtained fro~ the liunicipality of Anchorage files and from my
investigation ~.d inspection, the on-site water supply and/or wastewater disposal
system is in compliance with a/1 Hunicipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
a.e of Firm Telephon
DEEP Approval
Al~roved X Disapproved ,-- Condition-,1 --
Terms of Conditiona~ Approval
CAUTION
~ It~IICIFILII'Y OF ~ICHORACE I~PARII~E,NT ~ ~TH ~ E~IR0~ ~0TECTION
(D~P) ISS~S ~TH A~HORI~ ~OV~ ~RT~ICA~S B~ SO~LY U~N T~ ~RESE~-
ATIONS GI~N IN P~ 5 ~0~ BY ~ ~EPE~ ~0FESSIO~L ENGI~EK
IN ~ S~ ~ ~S~. ~ ~EP ~ES ~ ~ A
~IR ~ING I~TI~IO~ ~ O~ER T0 SATISFY
~S. ~PLO~ES OF ~EP ~ NOT ~UCT ~SPECTIO~ OR ~ALYZE DATA BEFORE A
CERTIFICA~ ~ ISS~D. ~ ~ICIP~I~ OF ~CHO~ ~ NOT ~SPONSIB~ FOR ~0RS
OR ~ISSI0~ ~ ~ ~0FESSIO~L ENGI~ER~S ~0~.
(DEEP SEAL)
RRI/eJ/D18
[Page 2 o~ 2]
7-19-84
tdUNICIPALh'~ OF ANCMO~AO~
£, .N L,..~NM~N~AL pk$ I'[CT~O:q
(MOA)
(HaA)
DF. COO
Well Cla-~sf£icaticn~~._~ If A, B, cz' C, DoE.C. A~n~cved(Y/N)
Yield ~_~_~
Sanitary Seal c~ re~_~ng (t/N),~J
De~=essic~ Arour~ Wellhead (Y/N) A/o
To Nearest ~t~e o~ Absorption Field c~ Lot ,/O~ ' I On Adjoining Lots
TO Nearest Public Sector ~f~e ~/o~C To Nea=est Public Se~r
HoldinG Tank Hi~h-wats~ A),-m (Y/N) ~tY~ Tem~ BoldinG Tank Permit (Y/N) ~./~
To Building Foundation /o '
To Disposal Field /~ (
To S~, Pond, Zake, = Majc~ D=ainage
[Page 1 of 2]
Receipt
Date Paid:
Amount:
2-15-84
Ce
soil~ ~a~ir~ in At~i~ s~a~
Da~ ~ns~alled
Width ~ Field 2-C '
Type cE S~stem Dasi~n -
~er~th cE Field ~-~ ¢
S~i~s ~e~nt (Y~) ~.
D. LZFT S'~TI~
Date I~stallsd
Size in Gallons
"Pump On= Level at
High Water Alarm Level at
Tested fee
Electrical Codes(Y/N)
** Check Pe=mitted 8edro:m RatinG Agair~t HAA l~quest **
I certify that I have checked, verified, c~ ~,f~.,~d to all
on the dat<e cE this inspection.
[Page 2 of 2]
2-15-84
& ENGINEERS, INC.
S
7125 OLD SEWARD HIGHWAY * ANCHORAGE, ALASKA 99502
July 30, 1984
Mr. Keith Bandt
Municipality of Anchorage
Dept, of Health & Environmental
Protection, Anchorage, Alaska
Dear Mr. Bandt,
This letter is in reference to groundwater conditions at
the property referenced above as effects a septic system
design submitted by this or, ce and dated 7/24/84.
After s monitoring period from 7/17/84 to 7/27/84 ground-
water depth in the percolation test hole at this site
stabilized at 5.0'. Please see attached photos for details.
If we can answer any further questions, please do not
hesitate to call at 349-6561.
Sincerely,
ary B~/Banntster
Engineering Geol6gist
WASlLLA
(907) 376-3770
ANCHORAGE SOLDOTNA
(907) 349-6561 (907) 262-9534