HomeMy WebLinkAboutTIMBER TRAIL TR 2Timb
r Treil
Tract
#017-101-32
Permit Number:.
Name:
EDWARD SCHLIEFS
14000 GOLDENVIEW BRIVE * ANCHORAOE, AK 99516
(907) 345-4258 3
LEGAL DESCRIPTION
2 - TIMBER TRAIL
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program, 4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904
On-Site Wastewater Disposal System and/or Well Inspection Report
SW020341 P~D Numbe~ 017--101--32
Wastewater System: r'l New
O
Page I of 3
· Upgrode
ABSORPTION FIELD
O Other
t'qDeep Trench IShallow Trench rtBed nMound
1.2 ~o/s, r~
2.0 ~
SEE DWG. ~
WELL: D New I'1 Upgrade 5
A+ HOME SERVICES
TANK
SEPA~TION DISTANCES ,s.~ a,o~.~ as.~.~P.
R~,d S~Uo. ~.~ ~.. ~ ANCH0~GE T~K 1000
w~ 100'+ 100'+ - - 25'+ ~EEL
2.0/2.0
70 TOTAL (2
D 3034/ F-810
o~ ~'b/25/2002
2
Surface Woter 100'4- 100'4- -- -- -- LIFT STATION
~tu.. s'+ ,o'+ - - - ~"~'"= I ~
~.~o~k,: BENCH MARK
-~I~ING SEPTIC TANK C0MP~ELY ~DONED TOP OF GAUGE S~ (WE~ END)
Inspections performed by: AKWWC, INC. Dates: 1st 10/25/2002
2nd 10/25/2002
3rd 10/25/2002
Development S,ervices Department Approval
R~viewed and approved by:_ ~ Dote: //~//~
PERMff NUMBER: AS BUILT DRAWING PARCEL IO NUMBER:
SW020541 ~ 017- I 01 -~$
A B C
ST1 - 17.24 36.88
ST2 - 23.78 36.47
DBL1 - 25.56 36.60
DBL2 - 26.66 36.64-
FI) - 27.20 36.74.
FS 105.17 - 98.42
C01 10.3.20 - 98.45
MT1 100.81 -- 97.21
C02 122.95 - 128.85
MT2 123.81 - 128.69
C05 116.51 - 106.96
MT3 118.39 - 108.6.3
C04 136.51 - 137.21
MT4 133.18 - 134.03
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ALASKA ~V.a/I ER & V~AS'I EV,~FER
~ONSULTANT$, lNG.
EDWARD SCHLIEFS 545-4252
TIMBER TRAIL SUBDIVISION; TRACT 2,
AS-BUILT OF SEPTIC SYSTEM UPGRADE
~ ~ AS BUILT DRAWING ~' ~
SW020.41 m 017-101-.2
100.41-101.04
· .~,~.~
NEW 1000 ~
C, ALLON SEPTlC TANK ~ or eUN(; AT
OUTLLrT m 95.21
n.e~ (,.,,v~.)
5.,.~.~,~ - e z e'.,
$o.e7 CA;T,.)
RI:LA11V~ ELEVATION OF IMPERMEA~LI:
~, RELATlV~ ~A~ON Or IMP~M~ SOl~ -- 64.67 ~JMO~ P~ ~
~[~ - 82.83 O~HO~ O~
11/7/2002 ~ OF ~%~
. ~...~.~.
'~S,~,,~:~ER ~'~ASTEB~TER' o~w";~.o. '~.~:~ ~:'.~00~
~ONSULTA~S, INO. . ~ 9~
600. ~,~,~, ~,~. SO.T, ~' ,~c~,~,. ,~ *~S~' ~ ~m~7~,,* ,,. c*o,m,-~,~6 N.T.S. ~ ....... ~ ~ ....... :'"'~
EDWARD SCHLIEFS (907) *45-4254 3 or 3 ) ' ;g~;;[;
~ ~.~.: ~... ,--~..-'~
PROFILE AS-BUILT DRAWINO OF SEPTIO UPGRADE %k~%~
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650. Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 13, 2002
Expiration Date: Sap 13, 2003
Permit Number: SW020341
Legal Description: TIMBER TRAIL TR 2
Design Engineer: 0041 AK Water & Wastewater Consultan'
Owner Name: Edward Schiefs
Owner Address: 14000 GOLDEN VIEW DR
ANCHORAGE, AK 99516-4301
Parcel ID: 017-101-33
Site Address: 014000 GOLDEN VIEW DR
Lot Size: 99142 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. Ail 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 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,
Received By:
Issued By:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
O
Parcel I.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
017-101-~3
Permit Number ~'f'"*~d-*~l~ I
Property owner(s)
Mailing address (1)
Mailing address (2)
EDWARD SCHIEF'S
14000 GOLDENV~EW DRIVE * ANCHORAGE. AK
Day phone 345-4252
~pCode 99516
Legal description (Lot, Block & Sub'd.) TRACT 2: TIMBER TRAIL SUBDIVISION
Legal description (Section, Township & Range)
Lot Size
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade ·
Acres/~.~
N/A
Number of Bedrooms
Well Only
Water Storage
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Jacuzzi
Water Softening Unit
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.
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
(Signoturc of propcrty owncr or outhorizcd ngcnt)
Permit Fees:
Date of Payment:
Receipt Number.
Waiver Fees:
Date of Payment:
Receipt Number:.
CONSULTANTS, INC.
October 17, 2002
Municipality of Anchorage
Development Service Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
REDESIGN
Ref: Septic System Upgrade for Tract 2; Timber Trail Subdivision
To whom it may concern:
2. GENERAL: A permit was issued on this property on 9/16/2002. During construction of the
drainfield the soil layer for the drainfield was found to be inconsistent with the permeable soils
and impermeable soils. Construction was then stopped and more testholes ~vere dug. The revised
design is summarized as follows.
2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring,
and the percolation test results.
3. TRENCII DESIGN:
a. Percolation Rate: 4 & 5
b.
¢.
d.
e.
g.
h.
j.
k.
Proposed Application Rate: 1.0 gallons/day/ft
Number of Bedrooms: 3
Design Flow: 450 gallons per day
Minimum Absorption Area: 450 ft2
Total Depth: 4 feet (max.)
Effective Depth: 2 feet
Width: 5 feet
Minimum Length: 70 feet long (2 @ 35 feet)
Effective absorption area: 500 ft2
4. SURFACE WATER: There is no surface water within 100 feet of the proposed septic
system upgrade.
6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246
5. TOPOGRAPHY: The average topography in the area of the proposed drainfield is a 15%-
20% slope running approximately east to west. In short, there are no slope concerns.
6. CLOSING: I am open to any suggestions from your department that would be an
improvement to the proposed system. I am unaware of any negative impacts that this installation
would impose on adjacent wells, or septic systems. If you have any questions, please call us at
337-6179.
Si~erely~ /~/~
NOTE: Attached is a site plan drawing, a design drawing, five soils logs, the topographical map
and the 7page construction specification letter still apply and are all part of the design package
for this septic system.
6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246
'rlI~BER 'IRNL S/D; IRACT I
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BEDROOM
HOU~£
I
~.C.J.G. , ~" a "..~,,
· ~'~"~*"~"'~' ·~t~: ..... '/'~ ......... '""tt
EDWARD SCHLIEFS 545-4252 1
TIMBER TRAIL SUBDIVISION; TRACT 2
SITE P~N FOR PROPOSED SEPTIO UPGRADE
IH~TNJ. FLOW
.~THATPEOPOSED DRAINFIEZD$. EXCAVATE 1~/0 'I'~ENCHE~
ARr' 4 FEET DEEP MAXIMUM BY 5 F~t.i WiDE BY
tL~.~ LONO (~/0 AT 35 ~r.i LON~). ADD 0.5
OF CLEAN WASHED SEWER DRNNROCI~ INSTALL
T~[NCHE~ p~lr~ TO SLOPE CONTOURS. FOUNDA~0N
CI. EANOUT
---INSTN~. FLOW
SPUTTE~
86'+/%
IN~'TNJ,. DOUBLE
CLEN~OUT~ ~
/
SEP~C TANK
I
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RE-DESIGNL
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
PREP,~ED FOR: PHONE NUMEIF..~:
EDWARD SCHLIEFS 545-4252
TIMBER TRAIL SUBDIVISION; TRACT 2.
DESIGN OF PROPOSED SEPTIC SYSTEM UPGRADE
EXIt-TING
WElL
DATE.:
10/17/2002
DRAWN
C.J.O.
1" = 40'
20F2
12 -- ML
13--
B.O,IL
14--
15--
16--
17--
18--
19--
2O
SOIL CLASSIFICATIONS
· o:.', GW ==::: ORG
GM CL
GC OL
SW MH
SP CH
SM ~ OH
SC
DEPTH TO DATE
GROUNDWATER
Dm' lO/lO/2OO2
DRY 10/14/2002
PAy
DATE
10/14/2002
PERCOLATION RATE 5 (MIN./INCH)
TEST RUN BETWEEN 8.0 FT. AND 9.0 FT.
A FOUR HOUR PRESOAK WAS PERFORHED: ~IYES
SUSAN OSWALT PERCOLATION TEST PERFORHED BY:
[~NO
ROB CAMPBELL
IN ACCORDANCE
SOILS LOGGED BY:
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY ,~ GARNESS, CERTIFY THAT THIS W,,~S PERFORMED
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
1 4:56 - 6' -
2 5:06 10 3' 3'
.3 5:06 - 6' -
4 5:16 10 3 I/2' 2 1/2'
5 5:16 -- 6' -
6 5:26 10 4' 2'
7 5:26 - 6' -
8 5:36 10 4' 2'
9 5:,36 - 6' -
10 5:46 10 4' 2"
11 5:46 - 6' -
12 5:56 10 4' 2'
PERC. HOLE DIA. 6 (INCHES)
ALASKA WATER 8, WASTEWATER
CONSULTANTS, INC.
Septcmbcr 5, 2002
Municipality of Anchomge
Development Service Department
Building Safety Division
On-Site Water & Wastewatcr Pmgram
4700 South Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
Ref: Septic System Upgrade for Tract 2; Timber Trail Subdivision
To whom it may concern:
1. GENERAL: The existing 3 bedroom home is served by a private well and septic system. The
septic is in a state of failure and needs to be upgraded. A test hole was dug in the area of the
upgrade. We are proposing to design the septic system around the 30 foot radii of this test hole.
2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring,
and the percolation test results. The proposed drainfield is to be installed in the GW material
which was visually rated to be faster than 1 minute per inch. A confirmation percolation test will
be performed during construction in GW material.
3. TRENCH DESIGN:
a. Percolation Rate: 1.2 visual
b. Proposed Application Rate: 1.0 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 450 ft~
f. Total Depth: 8.5 feet (max.)
g. Sand Filter: 2.0 feet of M.O.A. approved sand
h. Effective Depth: 0.5 feet
i. Width: 5 feet
j. Minimum Length: 90 feet long (2 ~ 45 feet)
k. Effective absorption area: 450 ft~
4. SURFACE WATER: There is no surface water within 100 feet of the proposed septic
system upgrade.
5. TOPOGRAPIIY: The average topography in the area of the proposed drainfield is a 15%-
6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)335-3246
20% slope running approximately east to west. In short, there are no slope concerns.
6. CLOSING: I am open to any suggestions from your department that would be an
improvement to the proposed system. I am unaware of any negative impacts that this installation
would impose on adjacent wells, or septic systems. If you have any questions, please call us at
337-6179.
Sincerely, /f
NOTE: Attached is a site plan drawing, a design drawing, a trench detail, a soil log, a
topographical drawing, and a 7 page constn~ction specification letter which are all part of the
design pacfage for this septic system.
6901 Deban Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246
~%.\/APPROXIkIAT~ ~ LOCATION
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EXISTINQ
SEPT~
PROPOSED SEPTIC UPGRADE
(Srr DESIGN pAGr 2 OF 5)
Tn,(BI~R TR~L S/D; TRACT I
& WAS'TEWATEr
CONSULTANTS, INC.
pREPARED FOR PHONE NUMBER:
EDWARD SCHLIEFS 545-4252
TIMBER TRAIL SUBDIVISION; TRACT 2
SITE PLAN FOR PROPOSED SEPTIC UPGRADE
9/5/2002
DRAWN ST:
Z.T.G.
1" = 100'
pAGE NUMBER=
! OF5
NOTE: a CONFIRMATION
PERCOLATION TEST IN
THE GW MATERIAL IS TO
BE PERFORMED PRIOR
TO CONSTRUCTION.
INSTALL
PROPOSe:) 1000
GALLON
INSTALL DOUBI r
EXIStiNG $D~1C TANK TO BE
CO~IPLrrT~.y .~,I~ONrn
~ 9/5/2.0o2.
............. Z.T.G.
ALASKA WATER & ~VASTE~VATER ~
CONSULTANTS, INC. 1 # = 40'
pREPAREO FOR: PHONIr NUMBER: PAG~ NUMBER:
EDWARD SCHUEFS 345-4252 2 OF 3
trGAL DE~RLOTION:
TIMBER TRAIL SUBDIVISION; TRACT 2,
DESIGN OF PROPOSED SEPTIC SYSTEM UPGRADE
10' · I
ALASKA WATER & ~VASTEWATER . z.T.o.
PREPARED FOR: pHIONr NUMBER: PAGE NUMBER:
EDWARD SCHUEFS (907) 545-4252
LEGAL DESCRIPTION:
~_'.. ..'
TIMBER TRAIL SUBDIVISION: TRACT 2,
DETAIL DRAWING OF PROPOSED DRAINFIELO
/-
'TRACT 1
:D ~CHUEFS
S/D~
PHONE
2~I_,ASI(A '~VATER & WAS FEWATER
CONSULTANTS, INC,
ISOIL LOG PERCO~TION TESTI ...
(,.t) ~S~ ~=~ ..~ ITEST HOLE
SOIL CLASSIFICATIONS
3-- 7 GM CL
Gc
4 ;. sw MH
sc
GROUNDWATER DATE
`5~ Dm' s/22/200~
:.,~_?,..hL DRY 8/29/2002
· 2 3:40
13~ " 3 3:40
· 5 4:10
~ GM 6 4:40
17
B.O.II.
%ID(ISTiNG FEXISTINO
SEPTIC / 3 BEDROOM
HOUSE
ii/~
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SITE PLANI /
"-.. 1'-17o'
NET TIME WATER LEVEL NET DROP
(MINUTES) READING (INCHES)
30 `5 3/¢* 1/4'
30 ,5 314' 114'
30 .5 3/4" 1/4.'
18--
19--
20
SOILS LOGGED BY:
COMMENTS:
PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA.. 6 (INCHES)
TEST RUN BETWEEN 6 FT. AND 7 FT.
A FOUR HOUR PRESOAK WAS PERFORMED: ~YES r-JNO
SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ZACHAR~H CALL
PERFORMEO BY AKWWC, INC. I, JEI-FREY A. GARNESS, CERTIFY THAT THIS WAS/PEI~FORMED
WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE:
IN ACCORDANCE
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
MAILING ADDRESS
LEGAL DESCRIPTION
]Well ] Absorp% area Dwollin~/ , PERMIT NO,
DISTANCE TO:
~<~ Manufacturer ~C¢8 ¢ Materia~/,~./ . N°. of compar~4onts
Liq. capacity in gallo~s Inside length Width Liquid depth
/~¢O IF HOME'DE:
, ~ Well Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in gallons
~ WeU Foundatie~//~ Nearest lot line PERMIT NO.
Mateda] 6eneath tile Total effective absorption area
inches
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
¢ m DISTANCE TO: Well Building foundation Nearest lot line
Class~ ~ Depth Driller Distance to lot llne PERMIT NO.
Absorpti n~r a(s)
" Building foundation Sewer line Septic )a~kz
~ DISTANCE TO: -
PIPE MATERIALS
SOIL TEST RATING ~,~ ~'
INSTALLER
REMARKS
Co
APPRO~%~ ' ' o* *~ DATE LEGAL
72-013 (Rev, 3/'
RPPLICRNT
LOCRTION
LEGRL
ED~IRRD SCHLIEF
GOLDEN VIEW DR.
LOT 2 TIMBER TRAIL SUB
~5ii BRLCHEN DR.
LOT SIZE
24~-746~
22222 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS := ~
SOIL RATING (SQ FT?BR)= 85
THE REQUIRED SIZE OF:THE SOIL REiSORPTION SYSTEM IS:
DEF'TIq= .:1..2 LENGTH= 2fi'; GF-:R'v"E L [:,EF'TH= 5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R 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 OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
F:EL::.,IJ X RE[) 5EF'T 'ir C: TR~4t( S I --'-~' E= t¢="00 ,3RLLf, b~$
PERMIT APPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTRLLRTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
T~4£, <2> I~4SPEI]:TIO~4S ARE RE6~IJIRE[)
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSRL SYSTEM IS
· 00 FEET FOR R PRIVATE NELL OR $~0 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON TFIE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS ?~ FEET.
WELL LOGS ARE REQUIRED AND MUST 8E RETURNED TO THE DEPARTMENT WITHIN 30 DRYS
OF THE WELL COMPLETION.
:OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
RVfllLRBLE TO INSURE PROPER INSTRLLRTION.
PEF-:t4 I T ' E~<P I ~;:ES [)ECEt'IBE~:~: _~:-1., :l..L:~- 80
I CERTIFY THAT
:1.: I RM FAMILIAR WITH THE REQUIREMENTS FoR ON-SITE SEWERS AND WELLS RS SET
FORTH 8Y THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
_?,: I UNDERSTAND TH8T THE ON-SITE SEWER SYSTEM M8Y REOUIRE ENLARGEMENT IF THE
RESIDENCE l~ REMODELED TO INCLUDE MORE THAN ]: BEDROOMS.
SZGNSD ..........
RPPL I C:FtNq~:D~--~' ~:HL I EF ~
,,, ,il , ..... .... ' v4. o
PERFORMED FOR:
LEGAL DESCRIPTION:
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION,
Pouch 6-650, Anchorage, Alaska 99502 276-222~
[] PERCOLATION
TEST
SOILS LOG -- PERCOLATION TEST
DATE PERFORMEO: ~-P3~ ~0
4-
5-
6-
8
9
10
11
12
13
14
15
16
17
18
19-
20-
COMMENTS
PERFORMED BY:
72-002 (7/76)
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
T RUN BETWEEN
~ FT AND
CERTIFIED BY:
(minutes/inch)
-- FT
DATE:
82,5 L Street, Fourfl~ Floor Wes
Anchorage, Alaska 9950!
SIGNED
Redif, prm® 4S 471
SEND PARTS 1 AND 3 WITH CARBON INTACT -
PART 3 WltL BE RETURNED WITH REPLY.
DETACH AND FILE FOR FOLLOW-UP
DATE RECEIVED
' iNSPECTION APPOINTMENTS , ~..~:2~.E./~e
TIME TIME TIME
DATE DATE DATE
INSPECTOR NSPECTOR I NSPECT¢~.{.
C~ .
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF H~ALTH &
) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIE~,!,/IRONMENTAL P~OTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION APR $ 1981
REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW I
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing.
PHONE
1. PROPERTY OWNER
MAILING ADDRESS
PROPERTY RESIDENT (if different from above) J ~,~ ~41. /V~. c~ l%z PHONE
PHONE
2. BUYER
MA.LING ADDRESS
3. LENDING INST..TIC. -- PHONE
MAILING ADDRESS
4. REAL'rOE/AGENT J PHONE
MAI LING ADDR ESS
5. LEGAL DESCRIPTION L
STREET LOCATION
6. TYPE OF RESIDENCE /'~ NUMBER OF~BEDROOMS
/~ ~ One E:] Four
SINGLE FAMILY Two [] Five
[] MULTIPLE FAMILY Three [] Six
[] Other
7. WATE S PPLY
~ INDIVIDUAL*
' [] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well Icg is re~quired for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
'UaZ
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[~] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SiX
[] OTHER
2, WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3, SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or [] Holding Tank
Size: / COCOQ If Tank is homemade
ive dimensions:
TYPE OF TANK
TOTAL ABSORPTION AR EA
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
I~-APPROV ED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE
72-010 (Rev, 6/79)
825 "I_." STrlEET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M, SULLIVAN,
April 7, ].981
Edward/Sir i Sch!ief
351]. Balchen Drive
Anchorage, Alaska 99503
Subject: Tract 2 Lot 2 Timber Trails Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items ?lave been
completed:
(1) The water analysis report needs to be delivered
to this office from the Chem Lab, 5633 B Street,
for our review.
(2) The well seal on the well needs to be tightened
so that it is water tlght. If there is not a
well seal, one needs to be put on and sealed so
that iL is water tight. This will need to be
reinspecLed by this office when completed.
If there are any further questions, please call this
office at 264-4720.
Sinc er e].y,
Les N. Buchholz, R.S.
Senior Environmental Specialist
LNB/ijw
IIome Federal Savings and Loan
535 D Street 99501
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [~' ~' PERCOLATION
TEST
Pouch 6-650, Anchorage, Alaska 99502 276-222'~
SOILS LOG - PERCOLATION TEST \~'T'- 5 ~"Z.-'~-.,~
1
2
3
4-
5
6
7
8
9
10
SLOPE
11
WAS GROUND WATER
ENCOUNTERED?
12
13
14-~
16-
17 1.5'
18
19
20
DATE PERFORMED:~
SITE PLAN
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
COMMENTS
PERFORMED BY: ~_~1,
TEST RUN BETWEEN FT AND -- FT
72-008 (7~76)