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Home My WebLink AboutSUNNY BLK 2 LT 2 .. 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: '~-"~"~.~)O~'~'''''' PID Number: ~| Address: ,ho.e: '°°'"': LEGAL DESCRIPTION WELL: D New D Upgrade SEPARATION DISTANCES Sudace Lot Foundation ~u~ain Remarks: Inspections performed by: Wastewater System: ,~ew I~ Upgrade ABSORPTION FIELD /~.-.Deep Trench n Shallow Trench n Bed n Mound I'1 Other Rating: ~) .~t~'~'""GPD/Sq Ft Tota, Depth ,rom origina, gra~ , ~. ~epth to pipe Bottom from original grad · Fill added above original grade: ?ravel depth beneath pipe "~ / F~. Gravel length: ~) ~/ Fl ~ Pipe mmterial;'.~--'.~l . TANK eptic ~ Holding ~ 8.T.E.P. LIFT $TATION ~mp Ua~ I Em~t~i~mns~tions ~do~ by: BENOH MARK Department of Health and Human Services approval Reviewed and approved by: //~~/~ Date: IAssumed Elevation: I 4~~' Ft 72-013 (1/9t) MOA 2~ P;rmlt. o.~tz--I ~ ~ ~)~- Page ~ of ~ Municipality of Anchorage 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 Legal ~/~ I1'~ II1"-' r-rr' 11~ II1"-' Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR:'"~J~ LEGAL DESCRIPTION= b.-'~' ~:>~' ~--~'--)1'~ ~y ~1. Township. Range. Section: SLOPE 10 11 12 WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Depth to Waler A!tel' ~.,~.,I Monitoring? , DATE PERFORMED: SITE PLAN N Gross Net Depth to Net Time Time Water Drop 18- 19- 20- PERCOLATION RATE ~'~ TEST RUN BETWEEN · PERFORMED BY; $ :e. '~ rNGINEERING , ~/~ . __ 17034 Ea~le River Loop Road No, 2~ ACCOH~ANCE WITH AL~ST~T[~RD MUNI~P~IDELINES IN EFFECT ON THIS DATE, 72~ IRev. (m,nutes.'mch) PERC HOLE DIAMETER -- FT AND · FT CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~ 0 ~'""~--"q ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L# STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920082 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SISICH THEODORE & OWNER ADDRESS:P.O. BOX 82685 ANCHORAGE AK 99509 DATE ISSUED: 5/15/92 EXPIRATION DATE:.5/15/93 PARCEL ID:01535134 LEGAL DESCRIPTION: SUNNY BLK 2 LT 2 LOT SIZE: 103447 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ADDITIONAL SOIL TEST HOLE WILL BE INSTALLED PRIOR TO CONSTRUCTION OF THE SYSTEM. TEST HOLE MUST BE INSTALLED TO A MINIMUM DEPTH OF 17 FEET AND A PERCOLATION TEST MUST BE PERFORMED ON THE RECEIVIN~ISOIL. S:. ENGINEER MUST NOTIFY DHHS AT LEAST 2.H~S B~/, RE/~ INSPECTIONS. RECEIVED BY: .-'~///~ DATE: / ISSUED BY: ~Ob~ S~ll~ DATE: PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT 1 OF PERMIT NUMBER:SWg10080 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:SISICH THEODORE & OWNER ADDRESS:PO BOX 92685 ANCHORAGE, AK 99509 DATE ISSUED: 5/02/91 EXPIRATION DATE: 5/02/92 PARCEL ID:01535134 LEGAL DESCRIPTION: SUNNY BLK 2 LT 2 LOT SIZE: 103447 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. TIlE 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ADDITIONAL SOIL TEST HOLE WILL BE INSTALLED PRIOR TO CONSTRUCTION OF THE SYSTEM. TEST HOLE MUST BE INSTALLED TO A MINIMUM DEPTH OF 17 FEET AND A PERCOLATION TEST MUST BE PERFORMED ON THE RECEIVING SOILS. ENGINEER MUST NOTIFY DHHS AT LEAS~URS B~EFORE ALL INSPECTIONS ISSUED BY: --~O%+lq ~MI II-i-{. DATE: 1991 ROBERT SHAFER, P.E. ROGER SHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-121 ! RECEIVED M~nJ.c, Lpa.~J.~o{ Ancho,'uzg¢ PEPAETMENT OF HEALTH AI~ HUMAN SERVICES P.O. ~o~ 196650 A~o~ge, A~ 99~19-6650 REFERENCE: Lot £; B~ock ~; Su~my S~bd~uZ6Zon; APR 2 2 1991 Municipality of Anchorage Dept. Health & Human Services SEWER S WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL S MECHANICAL INSPECTIONS FERI~ZT £E~UESTNARRATZVE On September I$, 1990 a p~rmlt ~a6 Z66,~L ~or the Z~6~on of a well and 4epic ~V6tem on the ~ef~re~ced prop~c~V. P-e to rcuZ~Zons to the ordl~nce we ~ue redesigned the ~eptlc ~6t~ to ren~u the well and ~ept~c pe~mlt. Unfor~nat~, ~e ~re 6bott one t~6t hoLeto a depth of 6 ~t. below the propo6ed ab6o~p~on ~ for ~e ~e I~Z~E 6~e. Th~e~o~e, ~e propose ~u~on o~ ~ t~t hole p~or ~ thl~ i~ a ~g¢ lot, a~ ~re a~l lot~ l~ the a~t, the l~6~l~on of the propo6ed w~ll a~d ~pt~c 6V6tem6 6houZd ~ve ~o the ~ghborlng prop~r~6. The £ot topog~ph~ ~ 9e~tly ~LopZng ~rom the north to the ao~ ~ a poi~ beyo~ ~ p~opoa~ ~ep~c ~at~ ~t w~ ~e ~ a ~nge o{ 9~de. Th~ g~ade ~ng~ u~ {~om app~o~ 30~ ~ 50~ down ~ a S~ ~ ~p~ ~op~ ~ ~ ~ ~po~p~ ~ w~ o~9~c ~y~g~ down the ~op~. Thee ~ f~h~ a~n~ ~ the ~w p~b~y of ~e ~o~ ~ d~our ~zo~ flow o~ ~e eff~e~. ON SITE WASTE WATER ~)ISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 unicipality Anchorage Department of Health and Human Services Tom Fink. 825 "L" Street ~ayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 10, 1991 Adam Liebrock PO Box 90098 Anchorage, Alaska 99509 Subject: Lot 2 Block 2 Sunny Subdivision Permit #900296, PID #015-351-34 The subject permit, issued by this office for a slngle family well and/or on-site wastewater system has expired as of December 31, 1990. A new permit must be obtained from this office for a well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation o~ the/on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this office f~r review, approval and documentation. All inspection reports 'must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. On-site Services JW/ljm:200 eno: Copy of Permit "Kids Are Our Future" 0 Per'mi{ Number: Date Issued: Owner Name: Owner Address: I U 1 P A L I T ¥ 0 F A N C H 0 R A G E Department of Health & Human Services L Streot, Anchorage, Alaska 99501 H-S I TE SEWER & WELL PERM I 09/18/90 Engineer Designed T ADAM LIEBROCK PO DOX 9009S ANCHORAGE, Al< 99509 Day Phone: 565-4858 Parcel Id: u15-551-$4 Lot Legal: Subdivision: SUNNY Lot: ~ Block: 2 Section: 2'.4 ]ownship: 12H Range: 5W Lot Size 105447 (sq. ft. or ac~es~ Max Bedrooms: lhis Permit: 4 Total Capacity: 4 SEPTIC ]'ANK: Minimum total septic tank capacity: 1,250 gallons. Each septic tan;.' must have at least 2 Compartments. Depth to top o~ septic tank(s) < 4.0 ;eet requires insulation over tank(s). W=LL. Log must be submitted to Municipality of Anchorage Department o~ Health and Human Services within 50 days of well completion. INSTALL F:'ER ENGINEERS ATTACHED APPROVED F'LAN. NOTIFY DHHS F'RIOR TO EACH INSF'ECTION. THIS PERMIT IS ISSUED FOR THE F'LANNED 4 BEDROOM SINGLE FAMILY DWELLING ONLY AND EXPIRES ON 12/51/90. I CERTIFY 1HAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality o~ Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and rmgulations, and in compliance with the design criteria o~ this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms. 1 also understand that the capacity of the total system is 4 bedrooms and any enlargement will require an additional permit. Signed: ~ DATE: Munlclpallly 0, Anch0rage ~ ~.".~._~ T ,~' ~1,_~: ~. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage. Alaska 99502-0650 ~-~ SO LS T=ST PERFORMED FOR: ~ ~.~ ~ ~':~'~'~%;~ DA~ PERF~~~O LEGAL DESCRIPTION: DEPTH ~(~ E~T~ ~ Township, Range, Section: TI"Z. tJ, ~,~.! ~ ~c.. ?~r SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? N S L IF YES, AT WHAT 0 DEPTH? p - E Depth ~ Water ~er lionizing? Date:. -. Reading Date Time Time Water Drop ~5-"'"'; I~.O,~. ~ ~ to * ~' ,~' 18- 19- 20- PERCOLATION RATE ,.~'(~ (mmuteshnch) PERC HOLE DIAMETER COMMENTS TESTRUNBETWEEN~ ~D , ~'~ FT ~. PERFORMED IN 1LEGAL ~ ~ ./ I Municipality of Anchor~,ge DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST Township, Range, Section: ~ SLOPE SITE ~AN 16- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop Ig- 20 - PERCOLATION RATE TESTRUNBETWEE~TAND ~ . FT COMMENTS S & S ENGINEERING PERFORMED BY17034 Eagle River L~ RoaR No 9~ I / ~ ~ CERTIFY THAT THI~TEST~AS PERFORMED IN Eagle River, Alaaka ~5~ 72~ (R~. 4t~) - DEPARTMENT OF HEALTH & HUMAN SERVICES r ;/ / '*:~c*[' ~..~/",I 825 L Street, Anchorage, Alaska 99502-0650 ~',~ ,' SOILS LOG -- PERCOLATION TEST '~ .!/.~...- ........... F.,~ LEGAL DESCRIPTION: L,-."~- "~;~""2-- '~,-~ ~"tl"~t Township, Range. Section: .'"~.~...~ , '~'"~, ~---~--.~.'~.~ ' DEPTH SLOPE SITE I~LAN 14-4 ~;~. 16- 17- 18- 19- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Ne~ De, th to Net Time Time Water Drop ', 20 - PERCOLATION RATE Z~ (minutes/tach) PERC HOLE DIAMETER TEST RUN BETWEEN, ~ FT AND "r FT COMMENTS S & S ENGINE£RING .,~ ' 170~ Eagle River L~ ""d No. 2~ ~