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HomeMy WebLinkAboutSEA TURN BLK 1 LT 11furn Block I Lot 11 #017-121 -44 Municipality of Anchorage Page I el. ~-~ 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 Permit Number: PID Number: O/7-1~-I- q~ Wastewater System: [3 New ~.UpgraCe ABSORPTION FIELD DeepTrench ~,,$hellow Trench D Bed D Mound --- Cme' LEGAL DESCRIPTION WELL: [3 New [] Upgrade I, Fl. FI. ,,.-Ir~ o.,. o-,,..: ~'/~'t ~ I'u"'° ~"":v ~,,, F,.Ic'''~'"'''"'~ ~'~:~,. SEPARATION DISTANCES TANK '~Lseptic ['1 Holding r'l S T.E.P . BENCH MARK Inspections performed by: Dates: 1st 2nd Department of Heal[h ,~,..~uman Services apprqva. I Reviewed and approved by: (I-~'~ \ Date: ~ .,45 t E~ IZ5 ~K ~ ~ BO 35.0 / I Lot 13 / I I Lot 14 PERMIT Piti # 017-1,~1-44 SEPTIC SYSTEI~ AS BUILT DATE: SEPT. 22, 2000 SHEET: 2/3 GR/D: 5138 SEAOIlI£.flWG /HA~WIRE tondord french: iN5' ~ide 45' Lon9 5' ~eep ~ Cover NO SCALE Monitor ~--~ Cleonouts 3.0 Pt oF Septic Rock EffecfNe ~ ~500 ~o(. septic tonh NO SCALE BENCHMARK: GARAGE SLAB TUBBLN 5. PUNKLAND P.E. Il ~03 ~/15th Ave II Anchorage Ak 9950! PERt, tIT # SW990385 SEA TURN BLOCK I LOT 11 14901 ZIRCON CIRCLE GENE 0£1 PARCEL ID 1/ 017-121-4~ DATE= 5EP~ 22. 2000 SEAOIII~DFIG 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 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Oct 11, 1999 Expiration Date: Oct 10, 2000 Permit Number: SW990383 Legal Description: SEATURN BLK 1 LT 11 Design Engineer:. 0007 Tobben Spurkland, PE Owner Name: GENE ORI Owner Address: PO BOX 200131 ANCHORAGE, AK 99520-0131 Pamel ID: 017-121-44 Site Address: 014901 ZIRCON ClR Lot Size: 55056 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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 DHHS at least 2 hours prior to each Inspection. Provide notification by calling (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: '~ - \ Date: Date: MUNICIPALITY OF ANCHORAGE Department of Hea~th and Human Servfces On-Site Sendces Program 825 L Street, Room 502 P.O. Box 196650. Anchorage. AK 99519-6650 (907) 343-4744 to.-/-q ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 07, 1998 Expiration Date: Oct 07, 1999 Permit Number: SW980398 Legal Description: SEATURN BLK 1 LT 11 Design Engineer:. 0007 Tobben Spurkland, P.E. Owner Name: GENE ORI Owner Address: PO BOX 200131 ANCHORAGE, AK 99520-0131 Pamel ID: 017-121-44 Site Address: 014901 ZIRCON CIR Lot Size: 0 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of; [] DisposalField [] SepticTank [] 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. 'Prbvide notification by calling (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. Date: Date: N 49~h / sc~, r, ,~o..r[ ! / SPURKLAND Exls t;ng Lot I0 ~ n'ez~ ept;c Tani~.,Wi~h 13 6~1. Lot 12 / . ! ! ".~ I Lot IS I Loi: 14 '" / / SPURKLANO P.E. 203 VI ISTH. AVENUE ~NC~. ~K. 99S01 BLOCK I SE,4 TURN GENE OR/ 14901 ZIRCON CIRCLE SEPTIC SYSTEM DESIGN DATE: OCT. 2, 1998 SHEET: I/I GRID: 3138 · PERt'lIT # SW980XXX Plfl # 017-121-44 SEAOIlI2.flh/6 T.SPURKL~ND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Department of ttealth and Social Services 8201 Street Anchorage, Alaska 99501 Subject: Tank Replacement Lot 11, Bk 1 Seaturn PID 01%121-44 October 2, 1998 Gentlemen; The septic tank at this property has deteriorated and needs to be replaced. The owner wants to install a 1500 gallon tank. Please issue a permit at your earliest convenience T. Sp~k .~ MUNICIPALITY OF ANCHORAGE Department of Health and Human Sen/ices On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Oct 11, 1999 Expiration Date: Oct 10, 2000 Permit Number: SW990383 Legal Description: SEATURN BLK 1 LT 11 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: GENE ORI Owner Address: PO BOX200131 ANCHORAGE, AK 99520-0131 Parcel ID: 017-121-44 Site Address: 014901 ZIRCON ClR Lot Size: 55056 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage Ail 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 calling (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: / ',' Date: Municipality of Anchorage Page 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 Permit Number: S ~' O~O ~' ~'-T> PID Number: ~)l?-i~;2.1- ,.,.e~ ~E'~//~. O ~ Wastewater System: D New ~Upgrade Address: lq qo l ~l~o~t ABSORPTION FIELD Phone: lNO. O*~r~ms: D Deep Trench ~ShaXowTrench DSed DMound DOther Township: I Range: I Section: Fill Idd~ I~ original grade: Gravel length: WELL: ~ New ~ Upgrade G~.~., width: Number of llne~: V GPM ~ Ft. Ft. SEPARATION DISTANCES ~Septic a Holding m S.T.E.P. SudaCewater O~O N/o LIFT STATfiON Remarks: BENCH MA~K Inspections pedormed by: ~ Dates: 1st /~/~ :.~~~~.~.u Department of Health and Human Se~ices approval ,,~-,',, .. Reviewed and N 49~ch SPURKLAND INSUL4TED , I'££NCH INSULA? $EPBC ~'ANK Lot 10 I SY/IN6 T1£$: ,48 28.5 t7 ,4C 40.,4 EC 17.5 AO 51.5 ~. E~ J3.0 '~AE,.. 108 -dp. Lot 13 I Lof 14 '~ / IOBBEN SPURKLAND P.E. 203 W 15TH. AVENUE ANCH. AK. 99501 279-$9 t 6 LOT 11 BLOCK I SE. dTURN GENE OR/ 1490l ZIRCON CIRCLE SEPTIC SYSTEM AS BUILT DATE: SEPT. 22, 2000 SHEET: 2/5 GRID: ~138 PERMIT # PID # 017-121-44 SEAOIII2.Dh/G 1500 901 Sept;c tonk Standord trench: 5' h/;de 45' ton9 5' ,Beep 3.0 Sewer rock 3' Cover G INSULM[D NO SCALE NO SCALE /__ Monltor Oe?nouts FI--- 3 Cover ~ ~;'.~, i; ~ ~ , '.r :,~ 'i:~ ~- , ' ~'i~5 "~" 3.0 Ft of Sepgic Rock / a*.2 Effedive ]500 ~o(, septic tank BENCH MA£K: GA£A~E SLAB ASSUUED [tEK I00.00 fr. 203 ~,/15th Ave Anchorage Ak 99501 PERMIT// SW990385 SEATURN BLOCI{ I LOT 11 14901 ZIRCON CIRCLE CENE 0,~1 £ARCEL ID // 017-121-44 ~EPTIC SYSTEH $CHEHATIC ~AT[, SEPE 22, 2000 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 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Oct 11, 1999 Expiration Date: Oct 10, 2000 Permit Number: SW990383 Legal Description: SEA TURN BLK I LT 11 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: GENE ORI Owner Address: PO BOX 200131 ANCHORAGE, AK 99520-0131 Parcel ID: 017-121-44 Site Address: 014901 ZIRCON CIR Lot Size: 55056 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage A~I construction must be in accordance with: 1. The attached approved design. 2. mi requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18Ab, C72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (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. MUNICIPAUTY OF ANCHORAGE Deparfment of Health end Human Services On-Site Se~ices Program 825 L Street. Room 502 P.O. Box 196650, Anchorage. AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Oct 11, 1999 Expiration Date: Oct 10, 2000 Permit Number: SW990383 Legal Description: SEA TURN BLK I LT 11 Design Engineer. 0007 Tobben Spurkland, PE Owner Name: GENE ORI Owner Address: PO BOX 200131 ANCHORAGE, AK 99520-0131 Total Bedrooms: 3 Pamel ID: 017-121-44 Site Address: 014901 ZIRCON ClR Lot Size: 55056 SQ. FT. Permit Bedrooms: 3 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (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: T.S?U CLA2qD P.E. 203 W ISth, Avenue, Suite 203 ANCtlORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM UPGRADE DESIGN LOT 11 BLOCK 1 SEATURN S/D GENE OR! Municipality of Anchorage Department of Health and Social Services 825 L Street Anchorage, Alaska 99501 September 7, 2000 We axe submitting a revision to permit SW990383 for the upgrade of the septic system for this lot. The submittal consists ofthree (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: Assume Groundwater at 9 feet during Breakup Use Standard 5-Wide Trench Soil Rating. From Testhole 09/01/00 <1 mln/in = 1.2 gal per sq.fi/day The insitu material has the gradation of SW Imported filter sand is not required. No. of Bedrooms 3 Required Area per Bedroom: 150/1.2 = 125 sq.fi. Total area required: 125 x 3 = 375 sqft Bottom Rock At 5 feet Top Rock At 2 feet Rock Depth 3 feet Reduction Factor 0.58 Total Trench Length 375 x 0.58 / 5 = 43.5 ft. USE 45 LF SYSTEM CONFIGURATION STANDARD 5-WIDE TRENCtl TOTAL LENGTtl 45 FT TOTAL WIDTlt 5 FT TOTAL DEPTH 5 FT ROCK DEPTH 3 FT COVER 3 IrT SEPTIC TANK 1500 GAL The installation of this septic system will not prevent development of adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoffwill not result from this installation. SCALE: 1'.-- )00 FT. \ \ / ! I I 203 gl ISTH. AVENUE ANCN. AK. 99501 69O?) ~-~9~ 11 II£OUK1 SIZ4TURN S/BIT GENT ORI 14901 ZIRCON CIRCLE PERMIT It SV990383 PID It 017-I~1-44 SEPTIC SYSTE~ DESIGN DATE: SEPT. 6, 2000 SHEET: I/$ GRID: $158 SEAOIlII. DWG VO N 49-~h ~PURKLAND No. 175 Lot 10 £OeK. II~!$UL4 r£ $ ...45 Lot 13 I Lot; 14 ~ / TOBBEN SPURKLAND P.E. 205 I~/ ISTN. AVENUE ANCH. AK. 119501 PERMIT # SV980398 PID # 017-1~1-44 SEPI'IC SYSTE~t DESIGN J DATE: SEPT. 6, 2000 SHEET: 2/$ GRID: $I$8 SEAOIll£.DWG Standard french: 5' Wide 45' Long 5' Deep 3.0' Sewer rock 3' Cover NO SCALE 0 Gl 1500 gal Septic tank S;! 'c ,_~0 F'e oF Sep'tlc Rock Effec#ve NO SCALE 1500 gal. sept;c tank II.]BBEN :SPURKLAND P,E.. II 203 ~/15th Ave II Anchorage Ak 99501 PERMIT ~ SW990585 SEATURN BLOCK I LOT 11 1,1901 ZIRCON CIRCLE GENE 0,~1 £ARCEL lot 017-121-44 SEPTIC SYSTEM SCHEMATIC DATE, SEP~ ~ 2000 SHEET, 4/5 GRID, 3138 SEAOIII~D~/¢ Munlcll:allty of Anchorage DEPARTMENT OF -~EALTH & HUMAN SERVICES 825 "L" Street, AImhorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: p-t LEGAL DESCRIPTION: LoT I1: FSV,, I, Township, Range. Section: Past and future presence trom these 5 6 7 8 9 10 11 12 13 14. 15. 17- 18- 19- 20- SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT I~. CEPTH? pO E neplh to Wal,r After ' ~/.7/%,..~ Monitorino? I D DaI~ Feeding Cate Gross Net Depth to Nit Time Time Water Drop PERCOLATION RATE ~' ~ [m,~utes,'mcru PERC HOLE OIAMETER ~' TEST RUN BETWEEN / I/Z' FT AND / ~) FT condltinn~ indicatpd are for the dates shown only. and/or depth of groundwater can not be predicted o serv n . PERFORMED BY: I ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED iN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUll [LINES IN EFFECT ON THIS DATE, DATE: ~ -- ~ ' ~ 72-008 (Rev. 4/85) 8801 Rendon Drive Anchorage. AK 9950? TERRA FIRMA INC. ~ROJECT NAME Sea-Turn. Lot 11. BK PROJECT NO: ANC 'llSe SAMPLE LOCATION .Lot ~ i, BK SAMPLE NO.: 00~-1 ~;$CRIpTION I OATE TESTED ~/~0 TESTED BY: REVIEW[D BY RJPC 2oc, ."iii ] Telephone: (907j 344.5934 Fax: (90'/) 344.5934 e-mail: terrafb~a!aska.ne! %GRAVEL' '3~.8 USC _ SW % SAND 58.9 % S,LT/CLA¥ [~ 02 mm n'~'-' ASTM ~718 [co.e~ ~PTIMUM M C % (coffered) NATURAL M C.% PARTICLE SIZE ANALySIs ~TM D4Z2X ¢130 :"~'' ' ii !il:. I.. ::"; :'~. i~ . !ii :'' .:" : ":: ':1 t I : ]t,:iI ! ' '~ '." ! I ,'' ' : : ! . OOl 0001 MOISTURE. DENSITY RELATIONSHIP 140.0 135.0 SIEVE ANALYSIS TEST $~EVE TOTAL 3" I ,=," ,100 3/4" 93 3/8" · 4 63 #10 42 #-40 14 · 60 9 #100 6 #200 4.3 HYDROMETER TEST ELAPSED 3IAM[TEF TO?AL % TIMF (mint , PASSING 0 05 1 2 4 8 15 30 6O 250 1440 JPermeabiljly J (ASTM D2438~ Degradation (ATM T-~3~ L.A. Abrlelon fAASHTO T961 LEGAL DESCRIPTION MUNICIPALITY OF: ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMEN'FAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT L.// LOCATION DISTANCE TO: Manufacturer Absorption area NO. OFBEDROOMS Mat No, of comJL~rtments Liq, cai IF HOMEMADE: Inside length ~ ~ ~ Liquid deptk~-~' Well elling DISTANCE ylng DISTANCE TO: Wel~ ~" (~/~O~_p ation Nearest lot PERMIT NOrc) 0 ;S (/ No. of lines~ Le~,ll~2.(of¢a,hD~lin,l O~-- Trench wicJth~. ~ Distan~ b~n lines Top of tile to finish grade Material ~ tile Total effectJ, ve cbsorlCtion area Length PERMIT NO. DISTANCE TO: Well absorption area g foundation Nearest lot line Depth DISTANCE TO: Building foundation OTHER Driller Sewer line REMARKS Distance to lot line Septic tank PERMIT%'o0 a, ¢ Absorption area(s) APPROVED B_013 (R~ev. 3/~/)' DATE LEGAL SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH DRILLED AT THE RATE OF .... ,~.~/,~. .... PER FOOT. PROPERTY OWNER _~¢~~%&__.0&¢ .... LOCATION OF WELL SITE WELL LOG: 0 ......24 24 ........ 57 .T&e~_~ ................ I[~cdfan.o A ce.~n, ezl. f:.e.d. ~42~rc,.J:_,t (iv COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLI:TFION OF' SAID DRILLING, WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ,~'3059~0() THANK YOU VERY MLTCH. BERNIE CLAUS OF RAMPART DRILLING WORKS DATE ..... 3'~1.;~o 8,U~ 198'0 l('" , 'v , '. ( , , " "\) .-. ~.¢~--\' kk x. _ ...... (,.kk,x. ~% .......... SSRWCE CHAr-te~O P ~,/,% PER MONTH W~LL B~.'~ASSESS~B ON PAST UUE ACCOUNTS. PERMIT NO. FIPF'L I CSNT I...OCFIT I ON LEGRL DEPFIF..TMENT Or- HEFILTH BND EN'v'IRC~NHENTRL ~ ,..OTECTION ,:,~._ L. 264-4720 ' EI_IGENE J. ORI., .:,R. P.B. E,U,, 2:-12:1 RNCH. ZZ RD:ON CIRCLE ~ :,E~ TURN =,LIB LOT :~.E ...,Z~.4,' ':4:) ~RE FEET ]"'¢F'E OF SOIL FIBSORPTION SYSTEM IS: TRENCH i"IR',:.:',IMUM IqUI"IBER OF BED, ROOMS = T~ SOIL RFITING (SQ FT,,'BR>= 125 THE REQUIRE[:, SIZE OF THE ?:,OIL RBSORPTION S'¢STEM IS: [::, ~% P "qr' H == ~ L E i"..,~ ,ii -r !*-I :: 4 ';*' ].3 F,~: F~ ',/E L [:, E P ]" 14 =: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCi4 OR [:,RRINFIEL. D. THE DEPTH OF Ft TRENCH OR PIT IS THE DISTRNCE BETHEEN Tt4L-] SURFRCE OF THE GROUND RND THE BOTTOM OF THE E'XCRVBTION (IN FEEl'). "FHERE IS NO SET HIDTH FOR TRENCHES. THE GRRVEL. [:,EF'TH IS THE MINIMUM DEPTH OF GRR',,,'EL BETHEEN THEE OUTFBLL PIPE RN[:, THE BOTTOM OF THE E~-:',CFIVFITION (IN FEE]"). F:'ERMIT BF'PLICFtNT HFIS THE RESPONSIBILITY TO INF:'BRM THIS DEPFIRTMENT DURING THE INS'I'FILLI=ITION INSPECTIONS OF RN'¢ NELLS FtD..TFICENT TO THIS PRBPERT'¢ FIND, THE NLIMBER BF RESIDENCES THRT THE HELL HILL SERVE. ........ T'l-..ff~23 < ;~i: ) I PqSPEE:T I 01"-4'_=; F~ F.:E F~E,;.!L! I RE[:.-, BRCKFILLING OF FtN'¢ S~r'STEM HITHOUT P'INRL INSPECTION BND RPPF.'.OVRL BM THIS DEPRRTMENT HILL BE SUBJECI' TO F'ROSECLITIr~N. MINIMUM D,I'=;TFtNCE BETHEEN FI HELL FIND RNY' ON-SITE SEP.IRGE DISPOSRL SYSTEM IS :tE4E~ FEET FOR Ft PF.:IVIRTE PiELL OR t50 TO 2C4C~ FEET FROM Ft PLIBL. IC HELL DEPENDING UPBN THE T'¢F'E OF PUBLIC HELL. MINIMLIM [:,ISTFtNCE FROM R F'RIVFITE HELL TO R PRIVRTE SEHER LINE IS ;-]5 FEET RND TO R C:I3MMUNIT'¢ SEHER LINE IS 75 FEET, HELL LOGS FIRE REQUIRED RND Mt.12;T BE RETURNED TO THE DEPRRTMF.~'NT HITHIN 2.:0 [:,R'¢S OF THE HELL COF1PLETION. OTHER REQUIREMENTS MFI'¢ RPPL'.r'. SF'ECIFICFtTIONS FIN[:, CONSTRUCTION DIRGRFIMS RRF FI',,,'FIILRBL. E TO INSURE PROPER INSTRLLRTION. F'EF~: f,1 I T' E::4F' Z RE:F; I CERTIF'¢ THFtT t: I BM FRMILIRR HITH THE RE~.~UIREMENTS FOR ON-SITE SEHERS RND WELL.'S'; RS SET F'"C~RTH B'¢ THE MUNICIPFILIT'¢ OF RNE:HORRGE. 2: I HILL INSTFtLL. THE S'¢STEM IN RCCORDRNCE HITH THE CODES. 3:: I I.JNDERSTRN['., TFIRT THE ON-SITE SEHER S'.r'STEM MI-'W REQUIRE ENLRRGE:MENT IF THE ....... , ...._ . _.. ..... ._. h.E.=,IBENL. F I--:, REHODELED TO INCLIIDE fiBRE THFtN ~.' BEE.,F..OOM_,. ,. _,':' I GNE[:,: ................................................................ FIF'F'L. IC:RNT EIJGENE J. 'IF'I, =,F.. 12;$1..IED E ~ ......................................... [: HTE._..~.-. .............. [:,EPRF~TMENT' 0',: H~r~LTH FtH[:, EN',/IR:Ot'~f'IENTRL PROTECT ION :~,25 ", STREET., ANCHORAGE, AK. 264-4720 i~J/ELL FIf'-4[:, ~'~wi'-4--"_-% I Ti "._~EI--4E R P EF.."I~I I T LEIT SIZE $- I }~( 7 SL.]I_IRRE FEET THE REQUIRED SIZE OF THE SOIL .~BSORF'TION S'¢STEi~fl IS: [:,EF'TH= (.¢' LEI'-4~3TH= /'~ ] ,3F4FI',.-'EL [:,EF'TH= L~ THE LENGTH [:,IMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF Fi TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND AND THE BOTTOM OF THE EXC8VRTION (IN FEET). THERE IS NO SET HIDTH FOR TRENCHES. THE GR8VEL DEPTH IS THE MINIMUM DEPTH OF GRSVEL 8ETHEEN THE OUTFRLL PIPE 8ND THE 80TTOH C~F THE EXCRV8TION (IN FEET). RE (q. bl I F-:ED _-'~.E F'T I r";~ T FI I'-,I k-:~ _'i:;, I Z E = ,f 000 ,3 R L L C, f'-4'--=; PERMIT RPPLICRNT HRS THE RESPONSIBILIT'¢ TO INFORM THIS DEPRRTMENT DLIRIr.iG THE INSTRLLRTION INSPECTIONS OF RN'¢ WELLS RDJRCENT TO THIS PROPERTY RNC, THE NUMBER OF' RESIDENC:ES THAT THE HELL NILL SERVE. TL..IC~ ( 2 ) I f',I_c,P E L--:-T I '31'4S I-IRE F.: E-_- L-] LIT F-:' E E:, .~., .,~-,-,-~., ._ BRE:KFILLING OF FtNY _'r_.~m HITHOLIT FINRL INSPECTION FtND FtPPD¢¢,.,'RL 8Y THIS DEPRRTt'IENT HILL BE SUBJECT TO PRFISECIJTION. MINIMUM DISTANCE DETHEEN R HELL AND ANY ON-SITE SEHRGE C, ISPOSRL_ SYSTEM IS 100 FEET FOR Fi F'RIVRTE 14ELL OR 150 TO 2¢J0 FEET FROM R PUBLIC HELL DEPENDING UPON THE TYPE OF F'UBLIC HELL MINIMLIM DISTFINCE FROM R PRIVFITE HELL TO FI PRI',/RTE SEHER LINE IS 25 FEET FtND TO R COMMUNITY SEHER LINE IS 75 FEET. HELL LOGS ARE REQUIRED AND MUST BE RETURNE[:, TO THE [:,EPFIRTMENT HITHIN i..':0 DRYS OF THE HELL COMF'LETION. EITHER REQ. UIREi'IENTS i'dRY APPLY. SPEC:IFICFITIONS FIND CONSTRUCTION DIAGRAMS FIRE RVRILRSLE TO INSURE PROF'ER INSTRLLFITION. PERr~ I T E::-::P I F-:ES [:,EL-:EblE:ER _--':-..-1., -1_"_=~. :BO I CERTIFY THAT 1: I RM FRMILIRR HITH THE REQUIREIIENTS FOR ON-SITE SEHERS RND HELLS RS SET FORTH B'¢ THE MUNICIPALITY OF RNCHORBGE. 2: I HILL INSTRLL-THE SYSTEM IN RCCORDRNCE HITH THE CODES. 3: I UN[:,ERSTRND THAT THE ON-SITE ~ENER SYSTEM rIRY REC~UIRE ENLRRGEMENT IF THE RESIDENCE IS REHO[:,ELED TO INCLUC, E M]RE THRN 3 BEDROOMS. 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST P~I~'~SOI LS LOG PERFORMED FOR: LEGAL DESCRIPTION: [] PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14- 15- 16- 17 18 19- 20- SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? O P E IF YES, AT WHAT ,//b,, DEPTH? Gross Net Depth to Net ~;~ , ,~a~,n~ Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS -U',-5~: i~5-' //4 ~-~'~- ~-,,~-¢,~ Z ' Y'~o 'd; ~' '~"~ ~' ~" BY: 72-008 (6/79) L(~/~,~ 'v~- ' ~ DA=rE RECEIVED INSPECTION APPOINTMENTS TIM ~~{.~ TIME TIME DATE U I f DATE DATE INSPECTOR I NSP ECTOR INSPECTOR ~ F ........... ,,TV rh~ AKIFN(hRA~E DEPT. OF MUNICIPALITY OF ANCHORAGE ............ ,' ,....uuCTION  D~PARTMENT OF HEALTH & ENVIRONMENTAL  825 L Street - Anchorage, Alaska 99501 . . -. E~VI RON~ENTAL SANITATION ~IVISIO~ Telephone 28~4720 RECE!_~ED flEOUEST FOil APPflOVAL OF INDIVIDUAL WATEfl AND SEWE~ FA01LITIES DIRECTIONS: Complete all p~rts on pa~e 1. Incomplete requests will not be processed, Please allow tan 110) days for processing. 1. P~OPEflTYOWNE~ ~ ,m . A . [ PHONE PROPERTY RESIDENT (l~r~nt from above} ~ PHONE 2 BUYER ~ ~ PHONE ~AILING ADDR~/ ~} 3, LENDING INS~IIUTION ~ -- PHONE MAILIN6 ADDRE~~ 5. LEGAL DESCRIPTION. . ~TR E ET LOCATION ~-'-.~L'/. , 6. TY~ RESIDENCES/ SINGLE FAMILY [] MULTIPLE FAMILY 7. WA' R PPLY ~ INDIVIDUAL* '[~] COMMUNITY [] PUBLIC UTILITY [] One I-] Four [] Other -,,~,, Two E] Five Three E] Six * ATTACH WELL LOG, A well log is required for all wells drilled since June 1975; For wells drilled prior to that date, give well depth (attach log if available,) : 8. SEV~E'DISPOSAL SYSTEM ~ I N DI VI DLJAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE pRocESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~]INDIVIDUAL/ON -SITE DATE iNSTALLED []PUBLIC UTI LITY Connection Verified INSTALLER []Septic Tank or [~Holding Tank Size: 1~-.-~'3~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS I~'""APP ROVE O FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE i BY ~~/. _ . 72-010 (Rev. 6/79) January 13, 1981 Eugene/Judy Ori Box 3--131 Anchorage. Alaska 99501. Subject: I,ot 1]. Block i Sea '.[lur}l Subdivision Approval_ for your indJ. vidual sewer and water facilit:.es cannot be granted IIDLJ-]I the following items have been completed: The wafer analysis report needs to be delivered to this office from the Chem Lab, [5633 B Street, for OLlr rev±ew, (2) Af oVCell]? O[lr log.: evneedSiew, to be submJ tted to this department ~ seal so that it, Jl s water -~:iqht;. '.Phis will need be reinspec:L:ed Dy this offi~:e. office at 264--4'720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/lj w cc: Alaska Mutual. Savings Bank Mortgage Loan Deparhmeilt ].503 West 3]_ Avenue 99503