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