HomeMy WebLinkAboutDEER PARK BLK 1 LT 2Deer Park
Block 1
Lot 2
#051-042-37
Development Services Department `
*60) Municipality of Anchorage
Building Safety Division
On-Site Water and Wastewater Program, 4700 S. Brogaw SL
P.O. Box IW650 Andtorage. AK 99519-66W Page of'3
www.d.andtorage.ak.Os (907)343.7901
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number._S(4)030 9I PID Number_n5'l—o!Q-37
q�5
Wastewater System: []New VUpgrade
Z,67(923 a[ to 71567-0171
ABSORPTION FIELD
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Inspections performed by: 17034 Eagle River Loop ROe11FHlbr; �„5^+ w45�//
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Developm nt Services Department Approval
0j S } ROBERT C. COWAN j� S
Reviewed and approved by' Date:
1Rm 13001
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PERMIT NO. SW030481
PAGE 2 OF 3
Municipalit of Anchora e
DEPARTMENT OF HEA�.TH AND HUN�IAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.D. Box 196650 • Anchorage, Alaska 99519-6650 • Te�l'ephone 343-4744
W
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 2, BLOCK 1, DEER PARK S/D P.I.D. No. 051-042-37
LOT 1
1
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I
5'x 10'
I
UTILITY
1EASEMENT
J
NEW TRENCH
/
/
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MT2
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MT1 THS1.4
NEW 550 GALLON FAT
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ALBERT S.T.E.P. TANK
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NEW 1000 GALLON
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ABANDONED COMPLETELY
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AN
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,ROBERT
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PERMIT ND. SW030481
PACE 3 OF 3
Municipalit of Anchorage
DEPARTMENT OF HEA. TH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.D. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 2, BLOCK 1, DEER PARK S/D P.I.D. NO. 051-042-37
GRADE
i— 99.5'
INSULATION
99.5
96.2'
—� NEW 1300 GAL. D SIG' DISCHARGE PIPE
POLY. TANK ',i
95.9'
550 CALLON FAT ALBERT
Iv1T2
MTl WITH PUMP ASSEMBLY
102.1'-\101.9'
FINAL GRADE
INSULATION
SR DIST. PIPE = 99.3'
MT2 = 98.3'J . "—MTI = 98.3'
WATER FOUND ® 94.3'
86.3' B.O.H.
N. T. S.
A
B
C
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—
24.0
10.0
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_S7'.571'.5
17.5
ST2
38.0
11.8
20.5
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41.5
15.4
22.0
MH
39.5
14.5
25.5
MT1
65.5
46.0
58.5
MT2
40.5
54.5
—
N. T. S.
Rising Son Electric Inc. 907 622 6777 06/24/04 12t3SP P.001
Rising Son glectric, Inc.
14816 Woodland Drive
Qagle River, AK 99577
(907) 6-2'2•6777
June 24, 2004
S & S Engineering
Eagle River, AK 99577
FAX #694-1211
Re: Lot 2 Block 2 Deer Park Subdivision
Dear Tammy:
The lift station at the above referenced property has been wired in accordance with NEC
and State/Local codes.
Thank you.
Sincerely,
aux,
10.`✓„-(LL�c,
.��- �araff21•�a�,�,l�cccc.e�
Kevin S. Hombuckle, Owner
Administration License Number 1284
Specialty Contractor License Number 27285
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW030481
Legal Description: [DEER PARK BLK._1 _LT, 2 7
7- f YVi
Date Issued: Nov 18, 2003
Expiration Date: Nov 17, 2004
Parcel ID: 051-042-37
Design Engineer: 0003 S & S Engineering Site Address: 022127 DEER CIR
Owner Name: Nancy Stahly Lot Size: 40028 SO. FT.
Owner Address: PO BOX 671923 Total Bedrooms: 3 Permit Bedrooms: 3
CHUGIAK . AK 99567-0971
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 ( IBAAC72 ) 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.
4/27/04 SEE EV6. 4Mckd6p nFSiGp M oviaG- r YST-E A, FJpa.�
L UW L Y/k& /¢iP6A wi nt SVoc... Ate( ec.r &4'H 7'.ri? PV VJ01A, 6-;,
NErk"'
�,30 -04
S o/LS t F s r p& ra B tri n a.17Y!
C0V6A?7a(r A -*-=k. SiTF , J EE ,jV?, tCHED
Received By.
Issued By.
/U/ Z
iiiiiiiiiiii
R6OES1GN AfTEV
i
_Date: ®F
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.anchorag e.ak.0 s
(007) 343.7904
ON -61-1 E SEWERMELL PE N,41T APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. �%�� " �� Z — Permit Number SWO 09
81
Property owner(s) 1V '+Ive f
Mailing address
L✓.-ra to(y Day phone 6 6$ --em
Mailing address (2) up L Que
Legal description (Lot, Block a Sub'd.) _Lot B l a G K )., Ueer j2ct r k p 16
Legal description (Section, Township 8 Range) 72-1%1 I Q 0 r I e -
Lot Size's 11J, a _Acre(D Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
U
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.
�I q S b S ENGINEERING
17034 Eagle River Loop Road No. 204
(Signature of properly owner or authorized agent)
Permit Fees:
Date of Payment:
4r
irDO. Waiver Fees:
if / lo l D 3 Date of Payment:
D H N NO 5 �� � Receipt Number:
Receipt Number: P
(Rev. 12100)
ROBEFTrC. COWAN, P.E.
FtOBERTA. SHAFER, P.E.
CIVIL ENGINEEnS
(907)694.2979
FAX(907)694-1211
.,2003
WALTHANTHORITY
All"MALS
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
SEWER&WATER
MANIXTENSIONS
REFERENCE: Lot 2, Block 1, Deer Park Subdivision
SEWER& WATER
INSPECTION
It is requested that you issue a permit to install a septic system upgrade to serve
the existing three bedroom dwelling on the referenced property.
A test hole was excavated and a percolation test was performed. The approximate
ENOINEERRNOSTUTNES
location of the test hole is located on the attached site plan. At the time of excavation
ANoaEParrs
10/29/03, water was not found. After monitoring, no ground water was found.
We do not anticipate any adverse effects on neighboring wells. septic systems,
WELLINSPECROW
reserve areas or drainage patterns by the installation of the proposed septic system.
TESTI
The construction of this system will not prevent any future development on any of the
adjacent properties.
SNTENLWS
If you require additional information, please contact us.
Sincerely,
ROADDESIGN
RobertC. Cowan, P.E.
SOILTEST
RCC/bjj
Enclosure
PERCOLATION
TEST
STRUCTLXIN.&
MECNWACAL
INSPECTIONS
CN SITE
WASTEWATER
D6POSALS`STEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577
40' I DESIGN I SITE -PLAN
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Development Services Department 'tt' y.
Building Safety Divisionyt On -Site Water and Wastewater Program . • ~- -•
4700 South Bragaw SL /� 9r„ ROBERT C. COWAN
P.O. Box 196650 Anchorage, AK 99519.6650 CE - 8801
www ci anchoraae.ak.us e1 .••,•?
(907)343.7904 (11 ::_..... n\�\•
Soils Log - Percolation Test
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MunicipalityofAnchorage "c; fa NGINEE se,
Development Services Department
Bu9dngSafely Div On
9 y,2 On•SiteWater and Wastewater Program _.
4700 South Bragaw St.
P.O. Box 7966:0 And oMge. AK 99519-66:0w 0,p ROBERT C. COWAN
�
y d anchcrace.ak us eci :� e8 - 8801
+ .........,.:
Soils Log - Percolation Test ��� ' ';t::•
Performed For: IVA--N-LY ! 5779' H LzG
Legal Description: OT 2 ; L'J'G04K l •
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Site Plan
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PEP.FOR?.IED IN ACCORDANCE WITH ALL STAT= ANU 1:lP:ICIPAL I.I LINES IN EFFECT ON THIS DAT E. DATE: 11/6/03
S&
nODEFTrC. COWAN. P.E.
nODEFR'A. SHAFER P.E.
CML ENGINEERS
(907)694-2979
FAX(907)694.1211
'—�
ON-SITE WASTEWATER DISPOSAL SVSTE1%1
CONSTRUCTION PRACTICES
W- 4THAAHO ITY
and
APPROVALS
MATERIAL SPECIFICATIONS
SEWER& WATER
REFERENCE: Lot 2, Block 1, Deer Park Subdivision
IMNIE%TEILSIONS
November 5, 2003
GENERAL:
SEWEn& WATEn
NSPECT10N
1.
The scope of this project includes the replacement of the existing 1000
gallon septic tank with a new 1000 gallon IIDPE septic tank, and
installation of a new trench to serve the existing three bedroom residence
ENGINEEnINGSTUOIES
located on the referenced property.
ANDRE"IS
2.
Construction shall be in accordance with the approved site plan and
design drawings, Municipal permit with any special provisions or
WELL INSPECTION
conditions, and all applicable State and Municipal Wastewater Disposal
&PLOW TEST
Regulations.
3.
The contractor shall be responsible for obtaining any necessary
SITE PLANS
underground utility locates.
4.
Unless specifically agreed otherwise, the property owner shall be
responsible for final grading areas subsequently depressed from soil
ROAD DESIGN
settling.
5.
Contractors installing wastewater disposal systems must be certified by
SOILTEST
the Municipal Health Department for system installations. Owners
installing their own systems must also receive prior approval from the
Municipal Health Department.
PERCOLATION
'
TEST
, SEPTIC TANK INSTALLATION:
1.
A septic tank is to be constructed by a certified septic tank manufacturer.
STNUCTLAVL&
WPE
Construction shall include two 4" cleanouts for pumping access.
2.
The septic tank shall be sufficiently bedded to prevent settling or shifting
of the tank.
ONSITE
WASTEWATER
DISPOSALSYSTEY
DESIGN
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577
Page 2
Lot 2, Block 1, Deer Park Subdivision
November 5, 2003
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
5. 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.
6. Final grading over the septic tank shall be such that a positive slope exists away
from the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom
of the excavation shall be within 2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer
rock) placement.
2. 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.
3. A silt barrier must be installed between the final gravel layer and the native soil
backfill. Ensure the silt barrier covers the entire gravel surface before placing
backfill.
4. 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.
5. 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 2, Block 1, Deer Park Subdivision
November 5, 2003
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal
approved septic tank manufacturer.
2. 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 (IIDPE)
Yes
No
ASTM D2662 (ABS)
Yes
Yes
Use of a type of pipe other than listed above must be approved by the inspecting
engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Company Styrofoam III or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder,
Femco, or equal).
5. 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.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than
3% passing the 4200 sieve.
7. 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:
1. 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 backfilled before this inspection.
Page 4
Lot 2, Block 1, Deer Park Subdivision
November 3, 2003
2. The second inspection must be conducted after 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 %%ill 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 /NSTALLER
MUNICIPALITY OF ANCHORAGE �)
/ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
•I ENVIRONMENTAL ENGINEERING
DIVISION
825 L Street - Anchorage, Alaska 99501
Telephone 264-0720
ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAMEil
r-
P ON �,
/J NEW
y - OJ3 ❑UPGRADE
e r—P w�_
MAILING
ADD (-SS
. 3 S/
LEGAL DESCRIPTI NI.
f� +
G 2
//� c
D
CJ l
i�C�f C�iK •�
LOCATION
NO. OF BEDROOMS
C?tP/ C�`e
O
DISTANCE TO:
Well//Q 4
Absorpto1 areal*
t7 I
Dwelling/ 119.
PERM N -9
6ZY
Wa
~
Manufacturer ov
C L
Mater' f�1 /
^
No. of complartments 'CJS
N
Liq.capaCity,yrLpallons
IF HOMEh1ADE:
Inside length
Width
Liquid depth
6Y
DISTANCE TO:
Well
Dwelling
PERMIT NO.
JD'Z
=Z
Manufacturer
Material
Liquid capacity in gallons
O
DISTANCE TO:
Well -t-
3 D
Foundatio
�%
Nearest lot line
av •�
PE?T C
O S >
w =
_
7
J LL 2
No. of lines
Length bLga n IinG4
Total leygth oyin4
Tre th7r
Distance eVV. �neys
��
RW
�S
..S c„
O inches
'7'
w H
Top of the finish ra/Iq f.,
AA.i enol bene�t rule
s� st
Total :ttjyyg bso�iodarea
p
Z L JQ{.✓u
G. inches}
Length
Width
Vepth
PERMIT NO.
w
R 1-
Type of crib
Cri a e
Crib depth
Total effective absorption
area
W L
wWell
DISTANCE T0:
Building foundation
Nearest lot line
J
Class
Oept
Driller
Distance to lot line
PERMIT NO.
J
w
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption steals)
A
OTHER
�
PIPE MATERIALS
�G
SOI L TEST RAYING
is
INSTAL �
it
REMA S
B
•. t
or
r
,•�� Robe,f A. Sh
AP O
DATE LEGAL
LS•crt S Engineering
it 013 (Rev. 31781 1
i
i
'i
ItTUON T,i:. Diclfton of geological and 'Y'1441 S.F"Is (OC6s)
a 7001 Porcupine Drive (Te .M: 2714615)
• Awchorggo, Alaska 75501
• a
, VATER YETI ArtO*0
Drlllleq CoYganr Mar •"Irnut:• r trilli-11.
i LOCATION Dr WELLFt***.either come late either to, 14, of Is.
STATE Or ALASKA
DEPARTMENT Of NATURAL AESOURCIS
D.S.C.S. Local M0.
Drilling permit No.
A.94. No.
Is. 10"49h
fY►dirlsiow
tet
Back
1►•tAecclom
section No.
ToYnsn 1p
Nis
A•nq•
CJY
Bola Un
I,. Distance and Direction from lead Intersections
Street Address and Area of WII Location
S. Cw(A Or KLLgzit'1 ):yerrc
Address:
t:u le r.ivcrt :..c.
Z. WELL L00 Feet Nlor
urfat•
Maearlol TT" toe fottom
b. WILL. DPTN, (come toted)
70 It.
Sgrfec* 916.40641
I
ate of
Caroletlew
/-1--:1
S. ❑table teal ❑Rotary Driven ❑O.g
❑Agger ❑Jetted 13s .. ❑Othaft
h w
« \ A
b. Vic. ❑0o-estic ❑Pubile Sgnpir 01ed-stry
❑brrlg•tlom []*.Charge ❑Ca\mrclal
❑Test well ❑Others
rti yl
••
1, CAIIN6S Threaded • v11.4
min, to 7.1 ft. Oath Weight __�'L Ibs/ft.
t0 ft. Depth
D. FINISH Of VELLI
T,.C,—ell rola ofseetert i•••
Sieg/Mesh Sir•: Lengths
Set bet.•n ft. and ft.
fltting•s
S. STATIC WATER LtVILI r[.
❑Above ❑salon lewd sorra*•
Type of voes.r~tt
10..PUMPINC LEVEL atom land surface
r
ft. after hfs. ►wing 1J g.►.m.
ft. after brs. P.nglag 1•p.e.
11. WELL MUD CWLCT10N: d Approved fit
YoFl gloss Adealer Inches above grade
12. csOUTINC: Well Croutecs ❑Tat .0 00
M.terlols ❑Neatce,ent ❑Otherl
13. PUAP, (If available) MP •/ 1
Length of Drop Pipe t t) ft. capacity &U 9.0.
Trees❑fubrrs Ule ❑A«loroea tieg
❑Jet ❑Others
IR. REMARKS:
..a.11 tu:ited at iU
15. WATER WELL CONTRACTOR'S Ct11TIr ICAT10Nt
This Yen res 4,11144 undo..., jurlsdletlow and this report Is true to the best of ro Lro 1449e and belief,
!•�• cu:.t:+ Lrillil:;: •.; •ASS:
•g,a(•IN Ve.M\• .M
J •Y.. ,:uA ,.err -,kala � ..we JS•II Ont..Gl .,M.. •r
i.vt.rg J
signed: oa u,Ya s a7aa
Ytno'.t.O ws..nta(.v.
form 02•Max Copy OistrlbuttO., WHITE • State MS. PINK - Driller. CANART - Customer
P1Ur-4I G I L I TY GF F1t-JChf-4F ZF3C=iE
DEPARTMENT l HEALTH AND ENVIRONMENTAL �OTECTIOH
r f' 825 'L' STREET, ANCHORAGE. AK. 99501
264-4720
WELL Flt4E> QhF—SITE SEWEFZ F"ERM I T
PERMIT NO. ( 810594 )
,APPLICANT MYERS CONST PO. BOX 351 694-9633
LOCATION PETERS CREEK
LEGAL LOT 2 ELK 1 DEERPARK SUB LOT SIZE 43560 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSG FT/BR)= 85
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
E>EF"IFV4= El L_Et+IGTH= 32 GFT FA %A EL_ OEF}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).
FZECALJ I REE> SEF"T I CT IFFltAUC S I 2i Es 1GEDE•D CaFAL_L-OMS
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
HUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- TF4CA C 2 ] I t.dSP ECT I Qt -FS nFTE FZEOIJ I FTEFJ ---
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 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 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 THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER. INSTALLATION.
F}EFZPl I T EXF> I EES E>EClErPl EDEFt 31.r 1Sc^•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 THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED
ISSUED
V4. 0
O.Ft E GEOTECHNICAL & DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 89577
6942774 or 6882280
Russsd Oyster
6942774 SOIL LOG
Soils b Foundations
Earl Ellis
688-2280
Land Development
Ptrforimed for: Name: N6A11ZoE k0,61AI=0A1 Tel. No. 3g9-laz
Nailing Address: S.R.A. eoz //7P, /&Nc11e,ell6E, A<. 99Saz
Legal Description: Lor / , &ocK /, ,qj Frg P.9e,K .�ST/JTES.
Cf
1 MC 5i4T T,-, So.�
Soil Characteristics
2 e7 6X-4VEL. W144 6Z7 TE2dE"r /M
411
3 G+oggCEs , LOOS E
4
5
G
8
Pi
SANDY 6eq11,F4
i%ED, P4WS-1 rY�
/.eAcE
4F S/LT
to
11 GnrrOif Or- j Ir
12
13
14
15
16
Ground Mater Encountered: Yes No !L If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments
R07- PZ,47AI
nla 5'-ACe
Performed by: Do to 6 8 7
�a-
I � I
IL
W-1
9� _
• GARS" �. PAYER VEN � l„ ARES
CONSULTING GEOLOGIST
BOX 476-M, STAR ROUTE A • ANCHORAGE, ALASKA 99507 • PHONE 744.7071
SOILS LOG
Test Pit "A"
Performed for Bella Vista Associates, Inc. Date 0/22/?S
Location Lot 2 Block 1 Deer Park Sub., Peters Creel: Alaska
(see Location Map)
rim
2
16
18
20
Soil Type Water Level
Remarks
g;q
0-2.5 Saud, silty, loose, tan, with organic
debris in top 6 inches.
2.5-8.0 Gravel, sandy, clean, dry, with a trace
of silt. Boulders to 10 inches in dia-
meter.
G'd
8.0-14.0 Gravel, clayey, silty, gray -broom, wet.
Water does not enter pit, but soil is
saturated and caves readily.
14.0-1'7.0 Gravel, silty, blue -gray, moist. Rocks
to12" in diameter. Lenses of gray,
poorly graded sand, moist, but well
drained. No Crater entry to pit.
GM-1
Total Depth of Excavation
_12! Material at Total Depth Gl
Groundwater
(x) Not Reached
Depth, if Reached
Classification Method
(x) Visual
( ) Sieve Analysis
Bedrock
(x) Not Reached
Depth, if Reached
Cary F. Player, Consulting Geologist
NEW CONSTRUCTION
I
--
DAIS RECEIVED
_
" INSPECTION APPOINTMENTS
STREET LOCATION
TIME
TIME
TIME
DATE
DATE
DATE l
INSPECTOR
INSPECTOR
INSPECTOR
MUNICIPALITY
Al.T;
MUNICIPALITY OF ANCHORAGE 1i c, %,LilI "RAGS
DEPT. Of ti °.
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTID�IRONNIENTAL P...;I=CT1011
1 825 L Street - Anchorage, Alaska 99501
•
SEP 21981
ENVIRONMENTAL SANITATION DIVISION
Telephone 264.4720 R E C E I� E
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWERFACICITIES D
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 110) days for processing.
1. PROPERTYOWNER
PHONE
Myers Construction, Inc.
694-2980
MAILING ADDRESS
Eagle River Loop, Road, Eagle River AK 99577
PROPERTY RESIDENT (If different from above)
PHONE
2. BUYER
PH N
Johnny D. Dickenson
752-2530
MAILING ADDRESS
Gen Del, P.S.C. No 2, Elmendorf AFB, AK 99506
3. LENDING INSTITUTION
PHONE
First Federal Savings & Loan
274-6565
MAILING ADDRESS
Northern Lights Blvd; Anchorage, AK 99504
4. REALTOR/AGENT
PHONE
Jim Montague/ Totem Realty
694-9494
MAILING ADDRESS
PO Box 911, Eagle River, AK 99577
5. LEGAL DESCRIPTION
Lot 2, Block 1, Deer Park Estates 6emg. f-apeo,
STREET LOCATION
NIIN Deer Circel, Peters
Creek
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
❑ One ❑ Four ❑ Other
SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
ER Three ❑ Six
7. WATER SUPPLY
® INDIVIDUAL'
*ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
® INDIVIDUAL/ON-SITE"
1981 YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
0
' nz®t_,
s v
72010 (Rev. W79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE ':
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE
❑ TWO
❑ THREE ❑ FIVE ❑ OTHER
❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLICUTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
-
DATE DRILLED
LOG RECEIVED
T� v
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAUON -SITE
❑PUBLICUTILITY
Connection Verified
PERMIT NUMBER
DATEINSTALLED
p�
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: /000 If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
- -
4. DISTANCES
WELL T0:
Septic/Holding Tank
Absorption Area
Seer Line
w
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
41 APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
IBY
e�
72010 (Rev. W79)