HomeMy WebLinkAboutTONJESS ESTATES BLK 2 LT 2
Municipality of Anchorage Page I of_..~_~
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: .5'/.t/~z/~ PID Number:, c3.C-/ - ~31
Name: ~.~f_ ?-'.~,,~'rO~ ~_.OP_. Wa'stewaler System:"'-='~ D Ne~'~. '~'Upgrade
Addre.: ./~0 ~ ~/~ ~f'~ ~ ~Z~ ABSORPTION FIELD ~'~
.~o..: /~-~n~ ~D~pTrench D Shallow Trench ~.ed ~Mound ~Other
-
LEGAL DESCRIPTION so, R.,.;: o.o~. ,,.
T~..~,~: ..... IR"":' 'ls~'°": m.~.~.~.,..,.~.:--~-~,..,,..~,~:
,/ Ft Ft.
Numar of lin.: Oi~e ~n lin~
WELL: Ez')r/~D New ~ Upgr~ Gmvelwidth: / Ft. I
Ca~ification (Private. KB.C): ~ep~ Cas~ TO: To~on ama: Pipe material:
Ddl~.~- :' Date Orill~: S~fic Wa~r LMI:R. Ins~lle~v/~~( ~X~ ~ g~'o~o~' Date Installed:l~.~
:, , ~P" ~ I ~. "TANK
'SEPARATION DISTANCES ~Septic D Holding n S.T. EP.
To ~tlc * ~ Uff Ho~i~ ~i~mat~ Ma~fa~umc ~paci~ In gallons:
From . Tank 'F~d S~on Tank ~rUfl~ ~ ~
~TI~6 / Numar of ~mpa~ments:
Su,aCewater */~ +/~ ~ ) ,/~= LI~ STATION
Foundation J 3 / ~ ~/~ . // "Pump on" I~el at:.
Cu~inDmin ~ _ ~ ~ ~ ~ ~mp ~El~d~l Insp~ions pedo~ by:
Re~k~ .... " , ........... BENCH.MARK
' L~tion end Descflption:
:
Inspections pedormed by: ~ ~' ~ ~ DateS:2nd_~lst IO-I~-¢& ~~,,~*~4~
Depadment of Hea~ Human Se~ices approval ~~-~
Reviewed and approv~ by: Date://-/~ -~
72-013 (Rev. 9/91) MOA 25
Permit No.
SW980409 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 19665~ Anchorc]cJe, Alosko 99519-6651] Telephone: ,343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal OescripUan: Ton;less Estates Lot 2 BIk 2
PID No.: 05183102
Ton jess Estotes Lot 2 BIk 2
'~.
ELEVATIONS
(NO~' TO
· '" ' Scole 1"=50
10/19/98
MUNICIPALITY OF ANCHORA GE
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
Upgrade
Date Issued: Oct 15, 1998
Expiration Date: Oct 15, 1999
Permit Number: SW980409
Legal Description: TON JESS ESTATES BLK 2 LT 2
Design Engineer: 0024 Eagle River Engineering Services
Owner Name: Joe & Sharon Coe
Owner Address: PO BOX 671330
Chugiak, AK 99567-1330
Parcel ID: 051o831-02
Site Address: 025051 PRINCE ClR
Lot Size: 46810 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] 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. 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:
Issued By; ~":-,~~ C /~/~3 Date:
Eagle River Engineering Services
Louis Butera, P.E.
P.O. BOX 773294. (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
SPECIFICATIONS FOR SEPTIC TANK REPLACEMENT
LEGAL: Lot 2 Block 2 Tonjcss Estates
I 0/15/98
A. GENERAL
1. The drawings shall be a part of this specification.
2. All materials and workmanship shall meet the requirements of Anchorage Department of
Health and Environmental Protection Permit.
THE SEPTIC TANK
1. Septic tank construction shall be a 1000 gallon steel t~vo compartment tank approved by the
Municipality of Anchorage.
2. Septic tank is to be installed level.
3. All connections are to be made with caulder couplings.
4. The existing tank is to be pumped, crushed and buried on site.
5. New tank to be provided with 2"d cleanout after tank.
\ 1997~98-009-sp¢c
,i
NO ~/ELLS + 100' :
·
· . .¢ /.
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-.. / : . .. '. .''",,...~e[\.....'. ' . . ' . ~ ' ...-('. :.
· '. / . 't*-,~*'"'~ '.~:'.".C-:i . · ' '
· '. './ ..' ~,,,~. ~ ~,~r~:,.....: ::.,. .
;.. · /... ,.. · .~:~_...:~.~ !'
~ ./ . . .. ~.>. y.:?..:,
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:' ' ' ' "'"' ..... '
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§~'".' ' '"""" '" '-- ' : ' : x' ''i~ i'~'' :'- '"-'~:'"" ' '
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~r~ , . -. .... ...........,. ' X .. . . ~ :~ ~ . .':. : ·
i~..'~., . . ~ · .:. . .. · . · ~ .' ~\ ~_.'~:.:'.,.:
~'~~;: - ,..... . ~ ..... ..... . .: ..':.."....~'.,'..'.~.............:':.:..'.o".~?.
'~>'.-". ~i... ~. . .... ,, ~::"- .
· 'v~?.,?. .: . :.".. .. '- -' ~.~
·. .~ ~..'
~ - TEST HOLE
· - MONITOR TUBE
o - SEWER GLEANOUT
NO SURFACE WATER + - WELL
PROPOSEO L~¢Hr~E~O
^LL WELLS IN ^REA ARE +100 ' FROM SEPTI~ TAN~ LO~ATION EASEMENT
SEPTIC TANK REPLACEMENT
LEGAL: TONJESS ESTATES LOT 2 BLK 2 oL%~'......
CONTRACTOR: AVALANCHE g*'."49 TH ~
~o. # ~s-oT~l~A~[: ~o/~s/~q sc~,[ ~"= so.
A EAGLE RIVER ENGINEERING SERVICES 'O~-~ ,.
P.O. Box 773294 ~^ ~ .. .. ~.~
EAGLE RIVER, AK. 99577 ~ " .... '
(907) 694-5195 FAX: (907,) S94- S297,
MUNICIPALITY OF ANCHORAGE
'..
LEC.~, L DESCRIPTION'
LOCATION
DISTANCE TO:
Manufacturer
DISTANCE TO:
Manufacturer
DISTANCE TO:
No. of lines
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE [~LN EW
I UPORAOE
IF HOMEMADE:
Well
Well
Length of e
Top of tile to finish grade
I Ab$ or~.~.re)
Iling
Type of crib
DISTANCE TO:
DISTANCE TO:
Width f~
Crib diameter
Material
Nearest lot line
.Iai length of lines Trench width
inches
Material beneath tile
inches
Total effective
Nearest lot liTt~)
Distance to lot line
W~t~) ,,~ / ~ Buildi~.~t~nc~tion
Driller
Septic tank
OTHER
foundation Sewer line
PIPE MATERIALS
SOIL TEST RATf/~ ~'
INSTALLER
REMARKS
INO. OF BEDROOMSs
No. of con3~.rtments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance between lines
Total effective absorption area
PERMIT NO.
Absorpt on area(s)
No. 14~74
APPRO~, :O.,'. ~R~ :',;"
72~13 {Rev, 3/78)
DATE
LEGAL
.. . D6C Co.
SULLIVAN WATER WELLS
· P. O. BOX 272, CHUGIAK. ALASKA 99567 · TELEPHONE 688-2789
OWNER OF LAND ' LCd.
[,EGAL DESCRIPTION 'Z.
DATE - Started ,'~;"'/.~'q. Ended
PERMIT NUMBER
OE~"m or WELL. r,,2 d'. a
STATIC LEVEL OF WATER FT. __~ 0
DRAW DOWN FT.
GALS. PER HR 7 0
KIND OF CASING 6 '"~q 0 ~
KIND OF FORMATION:
· ~ From
. From'
':' From,
From! /
From/
· :. From
From . ,
From
From
From ....
From
From
From
F~om
From
From
From
From
From
P7q
Ft. to Ft. ~.~ ~ ~
Ft. to Ft
' ~t. to ' Ft.
, _ .' DE~. OF HEALTH & -'
Ft. to Ft. ·
From ~t. to Ft. ~/~'~.m....) From
FromlqO Ft. to..~O i Ft. ' ~4~0c /~ ~ From
From Ft. to Ft. ~d~ ~ ~'~ From
From Ft. to Ft. / ~ ~ '~ From
From~-~l Ft. to ~Ft. ~~.,~ ~ From
From Ft. io Ft. ~ ~ ~.) From
Ft. to .Ft.
Ft. to Ft
Ft. to Ft
Ft, to Ft.
Ft. to Ft.
Ft. to Ft.
MISCL INFOILMATION:
I · t't
!S" 7-,74'.. c,,
825 L STREET, BNCHORRGE, RK 9L~.5E11
264-4?20
~]~[-J- '--ii TE SE£~ER ~% &,]ELL F'ER£'II T
PERHIT
DRTE ISSUED:
S40110 ENGINEERED DESIGN
RPPLICRNT:
RDDRESS:
C0NTRCT PHONE:
c?o S & S'ENG*G.' R ~. S CONSTRUCTION
SRB 296X ,
ERGLE RIVER, R~:~ 995??
~94-2979
LEGRL DESCRIP:
· LOT SIZE:
LOT LOC~TION:
.SUB[>IVISION: TONJESS ESTRTES
SECTION: 2 TOWNSHIP:
46810 (SQ. FT. OR RCRES)
PRINCE 8ND SCHRFF
LOT:
RRNGE:
BLOCK: 2
I CERTIFY' THRT:
1..I RI.1 FRHILIRR WITH THE REQUIREHENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH E:'-r' THE NUNICIPRLITY OF RNCHORRGE (HOR) RND THE STRTE OF RLRSKR.
2.' I WILL IN'.-.';TRLL THE SV'..'~TEM IN RCCORDRNCE WITH RLL MOR CODES RND REGULRTIONS,
RND IN COHPLIRNCE WITH THE DESIGN CRITERIR OF THIS PERHIT.
3. I WILL R[:,HERE TO RLL DIOR RND STRTE OF RLRSKR REQUIREHENTS FOR THE SET BRCK
DISTRNCES FROH RNY EXISTING WELL., WRSTEWRTER DISPOSRL S~'STEH 'OR PUBLIC
SEWERRGE S~'STEH ON THIS OR RN"r' RDJRCENT OR NERRB"r' LOT.
IF R LIFT STRTION IS INSTRLLE[:' Ir.~ 8N RRER COVERED E:Y D10R BUILDING CODES,
THEN 41> AN ELECTRICRL F'ERHIT RND INSPECTION [dUST BE OBTRINED~ (2) RS-BUILTS
WILL NOT BE RPPROVED WITHOUT RN ELECTRICRL INSPECTION REPORT~ RND (~) THE
ELECTRICRL 140RK HUST BE DONE B'¢ R LICENSED ELECTRICIRN.
RF'PLICRNT: ~ZO S ~ S ENCJ'G. R & S CO~TRUCTI~
ISSUED B'¢ ~ ~ [)RTE:
MUNICIPALITY OF ANCHORAGE
Department ~f Health and Environmental~rotection
~ . ~ 825~ h Street, Anchorage, AK. ~ ~501
,- 264-4720
Permit # ~D/{O HANDWRITTEN PERMIT * * *
WELL AND/OR ON-SITE SEWER PERMIT
Applicant: ~-- g ~ ~' Mailing Address: /9~X
Location: ~/~t~_~ ~ ~ Phone Number: ~ ~ - ~'~
Type of Soil Absorption System Is:
Trench: Drainfield: ~ Seepage Bed: __ Holding Tank:
Maximum Number of Bedr99ms: ~ Soil Rating(sq.ft/br) /~-~
The Required Size of the Soil Absorption System Is:'
DEPTH ~-~ LENGTH ,, . GRAVEL DEPTH WIDTH
The length dimension is the length(in 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(in 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(in feet).
· # REQUIRED SEPTIC(HOLDING) TANK SIZE = /~-J~ GALLONS
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
· * * TW0(2) INSPECTIONS ARE REQUIRED * ~ *
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 this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 * *
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 codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more tha~3 bedrooms.
Signed: Issued by:
ApplicantDate:
SWP/024 (1/81)
PERFORMED FOR:
LEGAL DESCRIPTION:
2
3
4-
5-
6
7
8
9
10
11
12
13
14
15
16
17,
18-
19-
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street° Anchorage, Alaska 99501 264~{720
SOILS LOG- PERCOLATION TEST
[] SOILb~.LOG
[] PERCOLATION
TEST
DATE FERFORMED: --'7 --2.- ,¢' -- F"'
WAS GROUND WATER _//~ ~.
ENCOUNTERED?
O
P
IF YES, AT WHAT
DEPTH? E
Reading Date Gross Net Depth to Net
Time Time Water Drop
//
PERCOLATION RATE //~/'~ {minutes/inch)
TEST RUN BETWEEN / F,T AND FT/,'
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIROhl~ENTAL HEALTH
DEPAKTMENT'OF ~ALTH AND ENVIRON}~NTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
(a) Legal Descrtpti~n.(in¢lude lot, block, ~bdivision, section, township, range)
F- z 773 /¢ 'z.%;- ,..
Location (address or directions)
(c) Applicant is (check one) Lending Institution ~; Owner/builder.~;
Buyer ~-~ ; Other ~ (explain);
(d) Lending Institution
Telephone
Address
(e)
(f)
Telephone
~.~1 the HAA to the following address:
2. Type of Residence
Single-Family~
Number of Bedrooms
Multi-Family ~--~
Other (describe)
3. Water Supply
Individual Well~ Community ~-~ Public I i
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
4. ~ewa~e Disposal
Onsite~_ Public~--U CommunityF--~ Holding Tank~--~
Nora: If community well system, must have written confirmation from :he State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2]
E~n~ineerin~ Firm Providin~ Inspections~ Testst File Search~ Data and Information
As certified by my seal affixed hereto and as of the validation date shown below, I
verify that my investigation of this Health Authority Approval shows that the on-site
water supply and/or wastewater disposal system is 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 }~nicipality of Anchorage files and from my
· investigation and inspection, the on-site water supply and/or wast.water disposal
system is in compliance with all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm' Telephone
(ENOI~ER
SE~)
.~ ~ ee ~.
Approved X Disapproved ~ ' Condition~~
Terms of Conditional Approval
CAUTION
THE I~3NICIPALITY OF ~NCHORAGE~ DEPARTMENT OF I~ALTH A~D ENVIRO~NTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. ~PLOYEES OF ~{EP DO ~T CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
'CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS IN THE PROFESSIOnaL ENGINEER'S WORK.
(DHEP SEAL)
RR4/eJ/Di8
[Page 2 of 2]
7-19-84
I
ae
MUNICIPALITY OF ;%NC~D~E (M(I~)
HFALT~ AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Well Classificatio~
Total Dspth 2. ~O Cased to
Static Water Le~sl
Casing Height Above Ground ,~_~! -~-
Electrical 'Wiring in Cc~duit
Sepa=ation Distan~s f~cm Wsll:
To Septic Ta=
,MUNICIPALITY OF ANCHOR.' cF.
D£PT. OF HEALTH &
ENVIRONMENTAL PROTE'C[IOI'~ .
OCT 1 '! Ig84
RECEIVED
; On' ~djoini~g Lots
To Nsa~st Edge of Absc=ption Field ~ Lot /QO 7~ ; On Adjoining Lots /Oo
TO Wea=est Publ{c ,,~ .~.:r LiDe ,/~ /~/~- TO Nea=est Public Sewer
Cleancut/MaP ,-hC'le ' '///z~C TO Neaz~st ~ewe= Se=vice Lins on LOt ,,/~
C~,.~nts /J o ~J C
B. SEPTIC/~ TANK E~TA
To P=o~erty Lins /CD
To ~ter Main/Se=vics Lins
C~se
C~,.~.nts /43 o ~J r~
To Disposal Field ,/J'- !
To S~am, Por~, I~, cz Majc~ C~ainage
[Page 1 of 2]
2-15-84
ABSORI:TICI~ FIELD [I%TA
Width of Field /~ ·
.fL=et of Absorptic~ A~ea ~/--~
Dep~esslc~ over Field (~)
I~ngth of Field ~ ~5'-
Depth of Field
Gravel Bed Thickness
Standpipes P~esent (Y~
Pete of Last Adsquacy Test
Results of Last ~t~quacy Test ,~J / F~-
Separation Distance f~cm Absc~ption Field:
To ~tez-Sup~ly Wsll Z/~p0 ?a To l~operty Line /'0 ~
TO Building Foundation ~ ( To Existing c~ Abandoned System cn
, On joi ing
TO ~ater Ma4~%/Se~vice Line /~ ~- TO Cutbank(if p~esent) ~C~ ~
To St_~eam/Pond/Lake/c~ Majo~ ~ainage Course ' /ti ]~
To D~iveway, Pa~king A~ea, c~ Vehicle Stc~age A~ea ~ ~-
C~,~=nts /~
D. LIFT STATION
Pete Installed
Sizs in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested fo~
Electrical Codes.(Y/N)
C~,~nts
~ l Manhole/Access .(Y/N)
/~f" Level at
~ ¥ Vent .(Y/N)
Pumping Cycles a~ing A~e__quacy Test.
**
** Check Permitted Bed~ocm Rating Against HAA l~equest
I certify that I have checked, ~rified, c~ eonfcz~ed to all MOA HAA
on the date of this..inspecticn.
Signed r .'<. ,, 81:15 I~X .
KB1/d5/s
[Page 2 of 2]
2-15-84