HomeMy WebLinkAboutT15N R1W SEC 18 LT 197BTI5N RIW
ction 18
Lot 197-B
#051-232-60
Municipality of Anchorage ...?,~
Development Services Department .~
Building Salely D v sion
On.Site Water and Wastewaler Program, 4700 S. Bragaw St.
P.O. Sox 196650 Anchorage, AK 99519-6650 Page
www. cLanchofage.ak.us (907) 343.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT
Permit Number: ~'l,~..) O ~ 0 00"7 PID Number:
"'"" ~O_~ef' YRe/""J'~I Waslewa,er$,stem: r]New I~[Upgrade
l'~'71t~ /Iq;,,k' Creel; ~e;V¢ [~U4~,~'~q~ ~7-~7~ ABSORPTION ElF! n
LEGAL DESCRIPTION '"'~ I,;;;:l
SEPARATION DISTANCES D septic ~ Holding ~ S.T.E.P. ~ Olhe~
Seplic Absorptior Lift Ho~ing Pu~r~at~
Tank F~ld Station Tank S~r L~ ~p~ ~ ~
~/Jr,~c 5~7'c T~ BENCH MARK
po,P " oo ,,
specJlons penormea Dy: ~j. ~j .... ~=..k~ ~5~ Dales:
~ ~-~O~ ' · ' .............. '
Development Services Department Approval
R~v~,w~a ~,d ~pp,ov~a by: ~~ ~d. ~ D~: ~' ~ ~' O~
PER,~I[T NO SW020007
PACE 2 Or 3
Municip. c~[i'l: of' .~,n c h o r' ~ .c:].e.
DEPARTMENT OF HEA~TH AND HUIViAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 eAnchor~ge, Alasko gg519-GGSO·Telephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEH AND/OR WELL INSPECTION REPORT
LECAL LOT 197B, SECTION 18, T15N, R1W P.I.D. NO. 051-252-60
\ ~..V~ / ,,~,~ // ~ -~
~~ ~5 ~DRooM
/ ~ tO0' ~ELE RADIUS
~' DIV[RT[R VALV[
10' UTILITY EASEMENT ~ ~ ~ ~o~,~ ~ COW~N J~ ~
hOT 803 - -~'-'. ........ c:'~
P£R.~flT NO $W020007
PAGE 3 OF 3
DEPARTMENT OF HEA~TH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.B. Box 3.96650 a, Anchor'o. Be, AIo,$1<o, 995t9-6650® Tetephone, 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEH AND/OR WELL INSPECTION REPORT
LEGAL LOT 197B~ SECTION 18, T15N, R1W
P.LD. NO. 051--232--60
ST1
FINAL GRADEj
92.7,//'
NEW 1500
GALLON
SEPTIC TANK
ST~/, 100.1 '
'"'"'92.5'
FINAL GRADE/
MT1--86.8'-~
COl=lO0.1'
C02=91.8'
·
NO WATER FOUND
80.8' B.O.H.
A B
FCO 52.0' 21.5'
ST1 102.0' 92.0'
iST2 112.0' 102.0'
DBL1 115.5' 105.5'
DBL2 115.0' 104.5'
DV 146.0' 154.0'
C01 125.5' 106.0'
C02 186.0' 172.0'
MT1 179.0' 165.0'
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewafer 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: Jan 16, 2002
Expiration Date: Jan 16, 2003
Permit Number: SW020007
Legal Description: T15N R1W SEC 18 LT 197B
Design Engineer: 0003 S & S Engineering
Owner Name: Roger Haertel
Owner Address: 18714 MINK CREEK DRIVE
CHUGIAK, AK 99567-6734
Parcel ID: 051-232-60
Site Address: 018714 MINK CREEK DR
Lot Size: 44910 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
[] Disposal Field [] 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 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 By:
Issued By:
Date:. / /)f~/O 7...
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchorage.ak.us
(907) 343-7904
ON-SITE SEWERJVVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Permit Number SW0;20007
Property owner(s) ~O~E/" ~¢Ir'3L~ I Day phone
Mailing address (1) i~i~;n~e¢~ Or;Ye
Mailing address (2) ~h.~ K Zip Code
Legal description (Lot, Block & Sub'd.) ~~~ ~
Legal d.escription (Section, Township & Range)
Lot Size .~/~/0 ~*z.,~Acres~
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub []
Swimming Pool []
Therapy Pool []
Numberof Bedrooms --~
Well Only []
Water Storage []
Jacuzzi []
Water Sottening Unit []
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/J /2
" 17034 EIg~ River Loep Ro~d No. ~,4
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev, 12/00)
~047.
Waiver Fees:
Date of Payment:
Receipt Number:
ROBERT C. COWAN, P.E.
January 4, 2002
CML ENGINEEP,~
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 197B, Sec. 18, Ti5N, RIW, S.M.
It is requested that you issue a permit to install a septic system to serve the existing
five bedroom d~velling on the referenced property.
A test hole was excavated and a percolation test was performed. The approximate location
of the test hole is located on the attached site plan. At the time of excavation 12/14/01
water was not found. After seven days of groundwater monitoring, the excavation was
found to be dry.
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
construction of this system will not prevent any future development on any of the adjacent
properties.
lfyou require additional information, please contact us.
Sincerely,
RCC/jhm
Enclosure
17034 NORTH EAGLE RIVER LOOP , SUITE 204 "EAGLE FdWER. ALA,~KA 99577
STRUCTURES, EASEMENTS, or ENCROACHMENTS CONTRACTOR IS REQUIRED TO
SHOWN ON THIS SITE PLAN ARE AS SHOWN ON
AN AS-BUILT SURVEY DRAWN BY: OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
DUANE MARK SEWARD WORK.
IT IS THE RESPONSIBILTY OF THE CONTRACTOR ALL PORTIONS OF SYSTEM
TO VERIFY EASEMENTS, REOUIRED SEPARATION WITH LESS THAN 3.5' or
DISTANCES, AND PROPERTY LINES PRIOR TO
CONSTRUCTION. i , COVER REOUIRE INSULATION.
DESIGN CRITERIA:
5 BDRM = 750 GPD r~r* ~S[PIC TANK
SOILS = 1.2 GPD/SQ.~. ' C,USH ~
750/1.2 = 625 SO.FT. REO'D. --:~
TRENCH CRITERIA: ~/ ~: '~
6Y
LONG
~CLEPHONEiR~R,(907)694_2979~ 99577 LOT 197B, SECTION 18, T15N, RlW, S M ~I,~. -... _ ~.--_v~ .'"'[t~ -
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
,,wwv.cl.ancho~aae.~k.~
(907) 343-7904
Soils Log - Percolation Test
Pedormed For: ~t'~O ~.,~ ~- ~8 E. ~ TE./...
Legal Desc~pfion:
5-
6-
7.
8-
10-
11-
12- 5/o
13-
14-
1§-
16-
17-
18-
19-
20-
Date.Performed:..~ ~-. /
Township, Range. Section:
Site Plan
COMMENTS
WA~ GROUND WATER
ENCOUNTERED?
IF YES. AT WHAT DEPTH?
Depth to Water After
Monitoring?
Reading Date Gross Time Net Time Depth to Water Net Drop
PERCOLATION RATE ~- I (rm~es,~c~) PERC HOLE D~AMETER ~"
TEST RUN BETWEEN ~.~ FT AND -~ FT
riODERT C. COWAN. P.E.
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CML ENGINEEFL5
(907) 694-2979
FAX (907) 694-12! I
REFERENCE: Lot 197B, Sec.18, T15N, RIW, S.M.
January 4, 2002
GENERAL:
The scope of[his project includes [he installation ora 1500 gallon septic tank
and a new trench to serve [he existing five bedroom residence located on [he
referenced property.
Construction shall be in accordance with [he approved site plan and design
drawings, Municipal permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
The contractor shall be respengible for obtaining any necessary underground
utility locates.
Unless specifically agreed otherwise, the property owner shall be responsible
for final grading areas subsequently depressed from soil settling.
Se
Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department to do system installations. Owners installing
[heir own systems must also receive prior approval from [he Municipal Health
Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be'constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE?I~R, ALASKA 9957'7
Page 2
Lot 197B, $ec.t8, T15N, RIW, $.M.
January 4, 2002
All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
Septic tanks installed with less than 4 fi. of cover shall be insulated.
A foundation cleanout shall be installed one to four feet from the building foundation. In
the line between the tank and the leachfield there shall be two adjacent cleanouts (unless
an effluent pumping system exists within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout shall be to clean toward the
septic tank.
Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on the design. The bottom ofthe
excavation shall be within 2 inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (rafted-up) before gravel (sewer rock)
placement.
Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt ba:xier covers the entire gravel surface before placing backfill.
Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion
of the monitoring tube extending through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is equivalent to the effective depth of
the gravel as noted on the design.
Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The
finish grade over the trench must be mounded to prevent the formation of a depression
after settling.
Page 3
Lot 197B, $ec.18, T15N, R¶W, $.M.
January 4, 2002
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe Perforated ,Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting engineer.
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam }II or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the 11200 sieve.
When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
Page 4
Lot 197B, $ec.18, T15N~ RIW, 8.M.
January 4, 2002
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be hackfilled before this inspection.
The second inspection must be conducted at, er the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or
control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR / INSTALLER
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORIT~ AP. PRO. VAL
FOR A SINGLE FAMII?..DWEL0 .N.G :' :'
· .. Expiration Date:
1. GENERAL INfoRMATION
Completeleg~ldescription~iL°t 197-B, 7. ocated in Sec 1_8;
Location (si!e address or directions) 1_8714 ~'tink Creek Dr. Chu~ziak, Al( 99567
Current Property owner(s) Ro?er Faertel
Day phone 688-6030
Mailing address
1871t~ 1.Hnk Er~k ~r. (lh~Ei~k: AK 99I§7
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Un/ess otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: .5'
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class .~
Public Water System
Well
[]
[]
[]
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Deve!opment Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with
valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public
water system. The Municipality of Anchorage is not responsible for errors or emissions in the prafessional
engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation.
based on procedures outlined in the Health Authority Appreval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is(are) safe. functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation. $ & $ ENGINEERING
Name of Firm 17034 Eagle River L~op Read N~. 204
Eagle River, Alaska ~9577
Address
Engineer's Printed Name /~i).~,'~..,~7- ~', L('0~,'~,-./
DSD SIGNATURE
~ Approved for
Disapproved,
Conditional approval for
Phone
Date
~-~....~-
bedrooms.
bedrooms, wkh ~he following
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Odginal Certificate Date: ,,~-
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
A. WELL DATA
Well
Date completed
Total depth ~,:,~ ft.
If A, B, or C provide PWSID # ~
Sanitary seal ~N) ~/~ .5
casedto
Date of test '
Static water level
Well product!on
FROM WELL LOG
/
/ ? g.p.m.
WATER SAMPLE RESULTS:
Coliform (.,,../ coloniesllO0 mi.
Date of sample: I~-../~:~/O!-
I i
Parcel ID: 0..¢'1-~.~',,3-6 0
wellLog ) "/5
Wires properly protected (~N) ~/IL~'..~
Casing height (above ground) /r~ in.
ATINSPECTION
Nitrate ~.~-~"~.mg./I.. Other bacteria C~ colonies/100 mi.
Collected by:
/
B. SEPTICIH.OLDING TANK DATA t
Tank size/~"~ gal. Number of Compartments
Foundation ci~anout~N) '~.~ Depression over tank (Y~ /%JO High water alarm (Y/N)
Date of pumping ,/%../'~'"'~J Pumper
Date installed ~-/d /~) '7_....
/
C. ABSORPTION FIELD DATA
Date installed ~ Soil rating (g.p.d./ftz or ft=/bdrm)/' 2
Length. ~,.~z' I ft. Width ;~ ft.
Total depth // ff. Eft. absorption area ~u~"~i~t2 Monitoring tube _
Date of adequacy test /~ ~ Results (Pass/Fail) ~
System type "~"",'~,
Gravel below pipe ~" ft.
~"/~'.~ Depression over field
For ~ bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluld~ Absorption rate >=
g.p.d.
Any rejuvenation treatment (past 1~1~ (YIN & type} If yes, give date
LIFT STATION
Date Installed
Size in gallons
'Pump on" level at /in.
Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FRoM WELL ON LOT TO:
Septic tank~if~'["'J'~'n on lot /~)~;) /'/"'
'Pump off' level at in.
Cycles tested
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
Absorption field on lot
Public sewer main
...~lsepUc service line ~'~' /-/-
On adjacent lots
In.
On adjacent lots /t'"2~ !-4-
Public sewer manhole/cleanout ~/,~
Holding tank "%///~c f
/
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
Water main
/
Wells on adjacent lots
Property line ~' ~ Absorption field ,~' ~"
Water service line / 0 ~ Surface water /4~' ~
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line /0/4-. 4' Water main
Building foundation ! 0 /
Water Service line /~) w..~ Su~acewater /~0 ~ /
~ D~eway, paAing/vehicle storage
Cu.ain drain d~ ~/~Wells on adjacent lots /~ ~
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name
Date
HAA Fee S
Date of Payment
Receipt Number
(Rev. 12/00)
Waiver Fee $
Date of Payment
Receipt Number
CT&E Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
Ordered By
PWS1D
1018377001
S & S Engineering
Lot 1973, Sec 18, TISN, RIW
Lot 1973, Sec 18. TISN, RIW
Drinking Water
Sample Remarks:
Client PO#
Printed Daterrlme 12/14/2001 14:00
Collected Date/Time 12/07/2001 14:15
Received Date/Time 12/07/2001 17:05
Technical Director Stephen C, Ede
Released B~
Allowable Prep Analysis
Parameter Results PQL Unit~ Method Limits Date Date Init
Nitrate-N 0.252 0.200 mg/L EPA 300.0 (<10) 12/07/01 SCL
Microbiolo=v Laboratory
Total Coliform
0 col/100mL SMI8 9222B (<1) 12/07/01 SBH
GREt.,,-'R ANCHORAGE AREA BOR,..uGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ADDRESS_~c~L~_. ~"* PHONE
SEPTIC TANK:
DISTANCE
FROM WELL~~'~rY'~
INSIDE LENGTH
INSIDE WIDTH
NUMBER OF
COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY/~-,~'~ GALLONS.
TILE DRAIN FIELD: .,~ ,*¢. ,'"'C~.
DISTANCE FROM WELL ~""gt~¢"',-~ FOUNDATION //'O ~'
NUMBER OF LINES / DISTANCE BETWEEN LINES ~/~ TRENCH WIDT IN. TOTAL EFFECTIVE
ABSORPTION AREA~3~ SQ, FT. LENGTH OF EACH LINE ~ i
DEPTH: TOP OFTILE TO FINISH GRADE ~ I MATERIAL BENEATH TILE ~ ~ABOVE TILE ~' IN.
WELL: ~6/'~ ~ 70 ~¢~ P¢p/~ 0~/~ ~ ~ /I~ "p ~ ~ ~/
BUILDING
FOUNDATION __
CESSPOOL _
APPROVED
_ CONSTRUCT ON"~/~¢'-~¢ ~'~. ~::/~'~$'~
NEAREST NEAREST SEPTIC
LOT LINE SEWER LINE TANK__
OTHER SOURCES
DISAPPROVED ____REMARKS
DEPTH
SEEPAGE
SYSTEM
_ DISTANCE FROM:
DISTANCES:
INSTALLED BY~ ~
SEWER LINE DEPTH:
PIPE MATE RIAL: I~-~r T--
LOT SLOPE:
REMARKS:
Form EQ-032
DIAGRAM OF SYSTEM
D ATE ~O-~ '7 ¢:~A P P R O V E [~ ~'~{-~/---~'¢~¢-~
G.A.A.B. ~
PEFd"II T NO.
F~F'F'I.... I CFINT {.,21 LE'T~ [:,ENLR.'!]tN
LOCFI'FION MINK CREEEK I)RIVE
I..~EGFIL L~E~'?B SE[.": J.,"-"'.:,' TJ. 5N RJ.H SM
'T"¢F'E OF SOIl_ MB_.RE F.c.N _,~..=,IE. I1 ''""' i'[4.E.N_.H
I'"IFI::<iMIJM hlUi'IEEF.. OF BEE:'RCIOM$3 = SOIL FHI
THE REI2. UIRE[:, 5.[,'-E. I.JF ]HE. ~uIL. RE,:,ORPTIUt~
L.. E: F- t[ H .-- .'It 2 IL E-" i'-.ll ,~ ""If- I1-1 = --2~; L'~ IF;.'.: FRI ... E] L. IL... E_ F ~ II- t ---
'I"HE L. ENG'I"H [)IMENrSIf]N IS 'T'FIE LENGTFI ,::IN FEE]") OF' '['FIE TRENCFI OR [:,RFIII'.~F'IEI....[:,.
THE DEP"fH OF' R TRENCH OF..' PIT IS THE DISTRI"aCE BE"f'HE:EIq THE SIJRFRC:E (IF ]"HE
(3ROUI''ID FaNI} THE BO]"'T'OH (."iF THE E',:~',CRVFaTION ,::IN FEET).
THERE ]:S NO SE:T WIDTH FOR TRENCFIEE;.
'THE diRRVEL. DEP'TH IS THE FIINIMUM DEPq-H OF GRRVEL BETIaEEN THE OI.JTFRLI.... F:'IPE
FIN[) THE BOTTOH OF THE E::..','CR',,,'RTION (IN FEET).
F;: E: (;;:! Lil ::It: F~ E::: E::. ...... E F ~J l:: ,ii: 'T IF~ If'-.~ IF~: ][ .::=~. E ...... ~, IHt L. IL. ,.J if .41 .....
E-I_.I,F iLLII''I.~ ('.'if:' FIN'¢ =,'r'=,lEi't 14ITHOUT FINRL Il,l_,[ EI...FION FIN[)FIF'PROVFIL E,'r ..... '='
I}EPFIRTMENT HILL BE ~_E.IfE'.':T TO F F,.__E_.I_FI
MINIMLIH DISTANCE: BETWEEN A 14ELL FIND ANY ON-SITE SE].,.IFIGE: DI'.:i;POSAL. SYS"I"EPI IS
:LOO FEET FOR A PRIVR'T'E 1.4ELL OR 2'J:=~O FEET FOR A PUBL. IC HELJ.-
WELL LOGS FaRE RE6!LIIRED FINE) MUST BE RETURNED TC) THE DEPI=IR"I"MENT I.,'IITHIN ]:0 I:::,F:t'~'S
OF TFIE HELl... COMF'LETION
E;PECi F I C:FIT IONS FIND CONSTIRUCT 1 ON DI RGRFIMS FIRE FI'v'FII LFIBLE TO INSURE PROPER
I NSTFILLFIT I ON.
P E-Z F ... § I 2[ "i- ".,,." t--] L_ 2]] E:. F L, E ............
I CERTIF'¢ THFI'I"
±: I FIM I=FIMILIRR HI'TH THE REQUIREMENTS FOR ON-SITE SEHERS FIND HEI...L.E; FaS E;ET
FORTH B'¢ TPIE MUNICIF'FILIT'¢ OF FINC:HOF..'FIGE.
2: I WiLL INS"f'FILL THE S'¢STE:M IN FIE:CORDFINCE HITH THE CODES.
]:: I UNDERSTFIN[:, TFIFIT "I'FIE ON-SITE SEWER SYSTEM MFIk' REQUIRE ENL. RRGEPIENT IF 'THE
RE"~3IDENCE IS RIE'IOC, EL. ED TO :NCLUDE MORE: THFIN 4 BEDROOMS.
... 1 .~t IE.b .
'IFFL ]
O ~r E GEO'rSr'HNICAL ~r DEVEI,,,f"°~/IENT CO.
Russell Oyster
694.2774
Soils Et Foundations
Performed for:
Legal Descrtptton: ~L. ~:;2
Depth (feet)
0
Name:
Hatlin9 Add~ess:
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
.:~... /2, / /~' ~"~
Sol) Ghar~cterl.~t_b;[
Tel. No.
Earl Ellis
688-2280
Land Development
1
~ /v/£ _
2
·
8
"' ,..t' / ~ ,'~.. A_" ..~
Ground Water Encountered: Yes No ' If yes, what depth__5'Z;.~a~.,..~ ;X2~./%,w.,,,; ,., ':'~
Proposed Installation: Seepage Pit Drain Fie~d "~..~ ~. No. ~7~.~ ..~'~7~"~';~.
Co~ents: ,
Performed by: ,"~. ,., · ;' ~ "i llate: .' 2'i,
1. Approval requested by:
Mailing Address: 803 West Northern Lights
2. Property Owner: .. Wiley D/Ellen Denson
Mailing Address: Box 966 Eagle River
River Area
GREATER ANCHORAGE AREA BOROUGH
D~partment of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received January 11,
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
First Federal Savings and Loan
Phone:
Phone:
Legal Description.: 'T15N R1W Section 18 Lot 197B
Location: See directions
1977
11:00 a.m.
1-12-77 Wednesday
274-6561
5. Type of facility to be inspected Single Family
6. Well Data:
A. Type Individual B.
C. Construction D.
7. Sewage Disposal System: On-site system
A. Installed 1976 B. Installer
C. Septic Tank: 1. Size 1,500 gallon~. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8, Distances:
A. Well to: Septic tank , Absorption area
Nearest lot line , Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
No. of bedrooms 5
Steel
Greer
Depth
Bacterial Analysis
., Sewer Lines ..... ,
EQ-034 (1/74) Page 1 of two pages
o/
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO.
2. Property Owner: ~),/~/ '~_
Mailing Address ~ ~/~.~
3. Name of Buyer: ~-~-7~.~-~_~
JAN!
VA FHA CONV
Mailing Address: Day Phone:
4. Name of Lending Institution: /: ~"~ ~/~; .¢ -~ ~-
Mailing Address'~/~ ///~,~Z/~ ~ ~/ \
. . Phone:
5. Name of Realtor or Agent:
Mailing Address: Phone:
Legal Description: ,/~7//~',~7 ~ ~_,/,~' '~--/'5--/¢/
Type of Facility to be Inspected: -~u' ,z~/m ~ No. Bdrms ~
#' ×
Water Supply
Type of Supply: Public Utility Individual ~'~
If Individual, number of dwellings presently served /
If Individual, depth of well ,~/ /
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation ,//-J ~ ~,~ -
Individual (on-site)
72-003(3/76)
Page 2 of two pages - Ret ;t for Approval of Individual ~ )r & Water Facilities
Legal Description T15N R1W Section 18 Lot 197B
Comments
Date
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)