HomeMy WebLinkAboutTUNDRA JEWEL RANCH LT 212.,VN"+N
i
C) 6\ ----a Nc I -.- w
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP201227 Effective Date:
Work Type: Septic Renewal
Tax Code Number: 05119330000
Site Legal Address: TUNDRA JEWEL RANCH LT 21 G:1159
Site Mailing Address: 19625 WILDWOOD DR, Chugiak
Owner: NELSON TIMOTHY J
Design Engineer: NORTH RIM ENGINEERING
This permit is for the construction of:
Z Disposal Field R1 Septic Tank ❑ Holding Tank ❑ Privy
Expiration Date
Lot Size in Sq Ft
Total Bedrooms:
DepaI-tinen t
7/17/2020
7/17/2021
108900
❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By:
Issued By:
7 0
Date: /
Date: Z�
V
ON-SITE SEPTICMELL PERMIT APPLICATION
Parcel I.D. 051-193-30
Property owner(s) Tim Nelson Day phone 694-1941
Mailing address 11345 Fireball St. Eagle River, AK 99577
Site address 19625 Wildwood Drive
Legal description (Sub'd., Block & Lot) Tundra Jewel Ranch Lot 21
Legal description (Township, Range & Section)
Lot Size 108,900 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
[]
Initial ❑
Single Family (SF) []
Septic Tank
Upgrade
pg ❑
(w/wo ADU)
Holding Tank
❑
Renewal []
Duplex (D) ❑
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
re of
agent)
Permit/Rush Fees: # fa, 75
Date of Payment: 7 ZO
Receipt Number: & #5159 8
Permit No. 0SP201 22'7
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Wockenfuss, Deborah M.
From: Steve Eng <steveengpe@gmail.com>
Sent: Friday, July 17, 2020 9:44 AM
To: Wockenfuss, Deborah M.
Subject: Re: TUNDRA JEWEL RANCH LT 21 permit renewal
Deb,
Owner contacted me. Construction is being planned. No changes for Permit.
Thanks -Steve
On Tue, Jul 14, 2020 at 2:19 PM Steve Eng <steveengpe(cDgmail.com> wrote:
Deb,
Received your voicemail. I have not been involved with this. Owner has not consulted me.
Thanks -Steve
On Tue, Jul 14, 2020 at 2:13 PM Wockenfuss, Deborah M.<deborah.wocl<enfuss(@anchorageal<.gov> wrote:
1
N`tP - MUNICIPALITY OF ANCHORAGE
7 • On-Site Water& Wastewater Program
PO Box 196650 4700 Elmore Road •L
1 i Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
http://www.muni.orglonsite "9 f
Department
*NC/IO0.pGf
On-Site Wastewater Disposal System Permit
Permit Number: OSP191232 Effective Date: 7/9/2019
Work Type: Septic Upgrade Expiration Date: 7/8/2020
Tax Code Number: 05119330000
Site Legal Address: TUNDRA JEWEL RANCH LT 21 G:1159
Site Mailing Address: 19625 WILDWOOD DR, Chugiak
Owner: NELSON TIMOTHY J Lot Size in Sq Ft: 108900
Design Engineer: NORTH RIM ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
I Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
1. Per the survey, the well is in the driveway. The casing is to be protected prior to COSA approval.
2. The mobile home is to be removed prior to Inspection Report approval.
Received By: Date: 7 /O /7
Issued By: �/l/ / � Date:
MUNICIPALITY OF ANCHORAGE
Development Services Department `i �/ Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 05119330
Property owner(s) TJN Day phone 229-0159 7 8 9
19625 Wildwood Drive
Mailing address �v 1,�
�.,
Site address Same
Legal description (Sub'd., Block & Lot) Tundra Jewel Ranch Lot 21 a":2/ JUN 1 1 2 .0119 .1-3>
Legal description (Township, Range & Section) -0-A. ti
Lot Size 108,900 Sq. Ft. Number of Bedrooms 4 <<o� ��
16RL9
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field H Initial n Single Family (SF) 0
(w/wo ADU)
Septic Tank ❑ Upgrade H Duplex (D)
Holding Tank ❑ Renewal ❑ —
Multiple Dwellings
Privy n (SF and/or D)
Private Well ❑
Water Storage I
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 1G Waiver Fees:
h aa!
Date of Payment: (o IQ Date of Payment:
Receipt Number: 10ar311 Receipt Number:
Permit No. O55lP/QlA3,1 Waiver No.
G\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
THIIV
NC
EI- z,INEERING SteveEng.com Tundra Jewel Ranch Lot 21
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: This is an existing 4-bedroom, single family home. This is a
developed subdivision. This is a large lot. The existing septic system to be
decommissioned. No adverse impacts are expected from tank/trench upgrade. No conflicts
to the other lots will take place by this septic system construction upgrade. A new soil test
reveals silty sand w/gravel&cobbles. An application rate of 1.2 GPD/FT2. Length =500
FT2/6'x 2 =42' trench (6' effective); Say 1 trench @ 42'. Water wells are drawn.
Additional data supports this design:
The well log on the subject property lists a depth @ 262',no bedrock.This well log lists the
static water level @ 235'.
Two test holes were completed on the neighbor lot directly across the street, Sky Manor
Lot 7A. This TH#9 has a soils log @ 17'depth- multiple monitor dates with no
groundwater. TH#10 is a similar test hole with no groundwater indicated.
Lot 48 to the north lists a previous test hole @ 10'depth with no groundwater.
Little Peters Creek is located in a deep chasm directly to the east as indicated on drawing.
The depth of the surface water is over 40'. No sign of elevated groundwater levels seeping
from steep slope.
Specification Requirements: All components and work must comply with the
Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water
Regulations and Wastewater Regulations.
• Two compartment, New 1250 gallon septic tank. Install Double Cleanouts.
• Install new foundation cleanout/sewer service if required.
• 10' minimum between the tank trench,tank to house. 10' to property lines,
• 3' of cover or insulation is required for trench; 2" Minimum thickness for insulation
can substitute for I' cover.
• Tank& solid pipe must be set on well compacted, stable soil.
• 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation
wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two
adjacent opposing cleanouts between the tank and the absorption field,not more than
10' from the tank positioned to provide cleanout access towards the tank and towards
the absorption field.
• All cleanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
• Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from
drain-rock.
•
NIFTRIM
MNEERING SteveEng.com Tundra Jewel Ranch Lot 21
• Drain rock to be 1/2 inch to 2 inch screened. Drain rock to be distributed uniformly •
throughout the trench.
• Perforated pipe to be installed level with perforations down.
• Silt barrier(filter fabric) to be installed above the drain rock.
• Smeared trench sides must be raked or scarified before drain rock placement.
• The finish grade must be mounded to promote drainage away from trench.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron,PVC ASTM D3034, PVC ASTM F789,
ABS ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal)
•
ar :% 9TH ,kl�j
0 / • EAlp-
r '� Steve Eng Qr.f
♦•. CE-6256 (tor
141 4® 7/.8 /19 �
DESIGN NOTES:
1. New Trench Depth At 10'.
2. New 1250 Gallon Septic Tank.
3. 3' Cover Or Insulate.
4. Lots Served by Private Water Wells.
5. No Conflicts Within 200'.
6. Check Well Separation Prior To Construction.
7. Septic Tank NOT Under Driveway.
8. Decommission Existing Tank/Bed Per UPC.
9. Mobile Home To Be Removed.
Septic
L48 Well>100' \
New 1250 Gallon
Septic Tank w/DC❑'s
35%
Flat Slope
New Trench
MT
YH
\i°
0
0 bed
/ <4,
0
Flat Slope 02c
10. 35% P
s
Community
Well>200' DrI °
IDe,omission Old
S=ptic Tank Per UPC Co /
4 Bdrro
35%
�� Qy Well
ka /
0 2% Slope
R100.P
NOR THRIM TUNDRA JEWEL RANCH i = 60'
ENGINEERING c' PLAN
SteveEng.com '' "' LOT 21
•
PO Box 770724 "'? LAYOUT
Eagle R1 Alaska 99577 ca-ass WASTEWATER UPGRADE
'6/25/°19br
907.694. 7028 NEW TANK/TRENCH 6/25/19 12 of 3
Foundation Cleanout ./ .
Tank Cleanouts
Fin ^amide Opposing Cleanouts Between Septic Tank & Trench
4'Cover
or Equal
1250 Gallon /
Mounded Cover To Match Terrain
MOA-Approved
Septic Tank Monitor Tube
Solid Pipe leanout
DESIGN NOTES: I
1. Depth of New Trench is 10'.
2. Septic Tank & Solid Pipe to be Placed on Compacted, , ,
Stable Soil, Free from Boulders. Filter Fabric — '
3. Sewer Service Line is Minimum 2% Slope & 3' Cover. '- ..=
4. Water-Tight Couplings. %i
S. See Specification Sheet. != P-0 !=+ 111P
N 6. All Work To Conform to Municipality of Anchorage (AMC) !, '`•`•`•`•`•'
Requirements & Specifications. 6' r r . . .
7. Maintain 3' Cover Over Trench Or Insulate. ' '=•�•=•"•"
Drain Rock ! ! f:+=•= !
M i. i! •.• • •.
.:. ..fe
!: PSth .::.•.
3'
I NOR T H R I M ;-'.c*���MM
-' ' TRENCH END VIEW TUNDRA JEWEL RANCH
ENGINEERING ��.
SteveEng. comf' 49 *f SEPTIC TANK PROFILE LOT 21
icl
PO Box 770724 °q ,... '' SEPTIC SYSTEM
Eagle River. Alaska 99577 .•
907 694.7028 ' 6%� /19' UPGRADE Date:
6/25/19 rrawn BY: le:is- 1. = 5 ' I 3 of 3 '
•
S❑ILS LOG — PERC❑LATI❑N TEST
I\ERT M Date Performed: 5/29/19
E.N INEERING
Performed For: Owner
Legal Description: Tundra Jewel Ranch Lot 21
DEPTH
(FEET)
T,H, Location: See Attached Test
1 - Organic
4,i4 gi, Boring Location Map
2 - {_ `'? SM Silty Sand
3 - YL;,'s;;M
Y ti:'•
4 _ i' �r4tw. 7
�"':^ = W/ Groundwater? No
`•'`"': Depth
6 - ;y<= w GM Gravel
n`��,-==••7Y" Water Depth
7 - =t-a4, Cobbles After Monitoring.None Date: 6/10/19
8 - t M;▪ _:--> # Date Gross Time Net Time Depth Net Drop
9 - : ;''S;V 1 6/5 0 -- 6" --
10 - <:::F4---''',.?:'.. 2 6/5 10 10 min. 2" 4
'`;•t;fVia,
11 - >(.T �,: �='P 3 6/5 10 -- 6" --
12 - w;>� 4 6/5 20 10 min. 2" 4"
13 - �• `�'< 5 6/5 20 -- 6' --
14 - '=.,���•4 b- 6 6/5 30 10 min, 2' 4"
max;.
15 - 'ice; tag 7 6/5 30 -- 6' --
16 - `'":`.,,. .r" 8 6/5 40 10 min, 2" 4"
17 - 9 6/5 40 -- 6" --
18 - 10 6/5 50 10 min, 2' 4'
19 - 11 6/5 50 -- 6" --
20 - 12 6/5 60 10 min. 2' 4"
21 - Percolation Rate 2.5 min/in Perc Hole Diameter 6"
Test Run Between 4' & 5'
2omments: Measured To The Nearest 1/16",
'erf orned By NorthRirn Fng, I CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines in Effect
JN THIS DATE. DATE:
NOR THRIM - e
rr: %
ENGINEERING ��v. •... .. TUNDRA JEWEL RANCH TH
SteveEng. com * .49Ili * LOT 21
PO Box 770724 sb�
Eagle River. Alaska 99577a- TESTH❑LE LOG
907.694.7028 467'25 .19 Dote,
GE❑TECHNICAL 6/25/19 I
N
\
\
\
\ _
\ Lot 5
Lot 48 \ N
\ 33.0' ( N
N
\ N
\
\
S 89'59'00"E 330.00' \
_ _ _ _ _ T
7,
0
N
Z Lot 21
o SEPTIC PIPES
q 108,900 s.f.
0
C
d 7,,,j,
�O z4
N •1
w 33.8' _ tivGE.., 12.2'x16.2' SHED 0 q Lot 1
oQs0
b ?4/ 'ry O
o o
c0 G SEPTIC PIPES m
C GRAVEL DRIVEWAY w
I •— WOODEN PATIO o
I \ o
MOBILE HOME
Q rr) I 69.6' \
0 o 40.4
\PORCH n 1 STORY rn
C) 'RESIDENCE'''
X 10•q.RAVCL " • • • N 8.3' `a 165.7'
ORIVEWgY: 26.6
im . ...005 :•. . .t•... WELL
•
1pp P
Rp�EC�\� •
80.4' ;,)
ri /
12.4'x26.2' CARPORT 12.1'x24.1' SHED
N
\ L_
/ 89'59'00"W 330.00'
— —
30.0',
Lot 2 I
33.0'
Tract B
I
I
NOTE: DUE TO SNOW & ICE COVER; THE LOCATION
OF THE GRAVEL DRIVEWAYS IS APPROXIMATE.
PLOT PLAN AS BUILT X SCALE 1" = 50' GRID NW 1259 Project No. 19-004/A1 _
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates , inc . (907) 522-6476 Phone ooppp� O
(907) 522-4625 Fax o� 0 F A (OpN
Professional Land Surveyors kenOlangsurvey.com • S 40
•. -Qp
JonathanOlangsurvey.com ,:9', C. '
I hereby certify that I have surveyed the following described property: 49TH /\ ;3 (OD
LOT 21, TUNDRA JEWEL RANCH SUBDIVISION (PLAT No. P-581)
Anchorage Recording District, Alaska, and that the improvements situated thereon areat a Q
within the property lines and do not encroach onto the property adjacent thereto, Q
no improvements on the property lying adjacent thereto encroach on the surveyed 4.. KENNETH AG. • o
premises and that there are no roadways, transmission lines or other visible G , f 1�H�1
easements on said property except as indicated hereon. V ..'W
J
O �P�, •••.LS-5202.•'• 5 O
Dated this the Day of �p u�c= "�� at Anchorage, Alaska �4°RO�SSIONA-
It is the responsibility of the owner to determine the existence of any easements, �'DODOo"`='a
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
MUNICIPALITY OF ANCHORAGE
DEF rMENT OF HEALTH AND HUMAN SERV, S
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON -SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name DISTANCES
2_ A SEPTIC ABSORPTION
Address FROM TANK FIELD WELL
q, /q/c
Per WELL
LyIV N Bedrooms
J,-,47q_Z L� 4-
1
LEGAL DESCRIPTION LOT LINE
Lot Block Subdivision
FOUNDATION
Township, Range, Section
AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation,
/siv 0 /
driveway, water bodies, etc.)
TANKS
SEPTIC El HOLDING
MafiUlactuier
Capacity in gallons
/ C)C>O
Material
No. of Compartments
S7,r=E L_
2—
TYPE OF SYSTEM
[:1 TRENCH LURED 0 W. DRAIN El OTHER
Depth to pipe bottom born
original grade
Total depth from original grade
2.S-3.S FT
3. S IT
Fill added above original grade
Gravel depth beneath pipe
FT
FT
'6rwv_o_l
Gravel width
F-T,,
Total absorption area
i Distance between lines
& S_QTT
— (p FT
vumoer of tines Iyou rainy_ I Htpe m- tenai
q Z.J SO FT
Installer Date Installed
7 y
WELLS
El PRIVATE El OTHER (Identity)
7 'fa s—s i I —ic a t ro , '(A B, _G) Total Depth Cased to /1-1 1 FTJ FT
Installer I Date Installed:
15903a�
5 6a I I I I I
Scale: &.17-
2- 55 a I, I e TIS-i'L I Id 5 CD X1 - 1--n, __ Inspections Performed by:
-) P M
Date b"4
r1l
ER'
v,
C3 v
17034 Eagle River Loop Road No. 204 ce . y that IN inspection was performed according to all
Eagle MY
Municipal and State guidelines in effect ors date: 7
rim rld� I
Health Department Approval:
Date:
V
79-nl'l
` W floozy �W C3 &A W Ff It V& E--1-..1..'
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. STREET, ANCHORAGE, AK 99501
264-4720
PERMIT NO: 87O078 UPGRADE
DATE ISSUED: 05/12/87
APPLICANT: RALPH HENDERSON C/O S&S ENGINEERING
ADDRESS: 17034 EAGLE RIVER LOOP ROAD NO, 204
EAGLE RIVER, AK 99577
CONTACT PHONE: 694-2979
LEGAL DESCRIP: SUBDIVISION: TUNDRA JEWEL RANCH LOT: 21 BLOCK: —
SECTI8W: 9 TOWNSHIPS 15N RANGE: 16"1
LOT SIZE: 2.5A (SQ.FT. OR ACRES)
��&$'474 /;:'V
C3 Pj -- S3� TL' -T F= 4_::;,EEWEEF;Z F=-E=-:FzZM�
,"RMIT NO: 840542
iTE ISSUED: 07/03/84
'PLICANT: RALPH & LINDA HENDERSON
iDREsS-. P.O. BOX 67012
CHUGIAK, AK 99567
INTACT PHONE: 688-2992
:SAL DESCRIP: SUBDIVISIONt,TUNDRA JEWEL RANCH- LOT.- 2
SECTION: 16 TOWNSHIP: 15N RANGE-.
IT SIZE: 2.5A (SO.FT. OR ACRES)
iX BEDROOMS-. 3
sted below are the options available to you in designi
'Stem. Choose the option that best fits your site.
- - - - - - - - - - - - - - - -- - - - - - - - - - - -
ID
PTH TO PIPE BOTTOM (FT.) 4.0 4.0
,AVEL DEPTH -(FT.) 4.0 0.5
TAL DEPTH (FT.) 19.0 4.5
AVEL WIDTH (FT.) 2.5 17.0
AVEL LENGTH (FT.) 47.0 34.0
AVEL VOLUME (CU.YDS.) 19.5 21.4
NK SIZE (GALS) 1,000.0 1,000.0
IL RATING (SG).FT./BR) 125 125
TANK MUST HAVE AT LEAST TWO COMPARTMENTS
- - - - - - - - - - - - - - - - -- - - - - - - - - - -
certify,that.
1. 1 am familiar with the requirements for on -site sew,
forth by the Municipality of Anchorage (MOA) and thl
2. 1 will install the system in accordance with all MOi
and in compliance with the design criteria of this 1
3. 1 will adhere to all MOA and State of Alaska requiri
distances from any existing well, wastewater dispos.
in on this or any adjacent or nearby li
sewerage syste,
4. 1 understand that this permit is valid for a maximui
any enlargement will require an additional permit.
�-A LIFT STATION IS INSTALLED IIN AN AREA COVERED BY MOA
EN 0) AN ELECTRICAL PERMIT AND INSPECTION MUST BE,OBTi
LL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REJ
ECTRICAL WO MUST BE DOIE BY A LICENSED ELECTRICIAN.
BNED DATE.-
. .... ......... . ..
MUNICIPALITY OF ANCHORAGE
Department Health and Environmenta' " rotection
825- Street, Anchorage, AK. ?501 -
264-4720 1�0
Permit Ir- -1 A kin /
HANDWRITTEN PERMIT
09(,—
OR ON -SITE SEWER PERMIT
Applicant: g, Mailing Address: 0 /2 X 12 7
Location: Phone Number: 7—
Legal Description: /_0 J 4Lot Size:
Type of Soil Absorption System Is:
Trench: Drainfield: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
DEPTH LENGTH So( 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(HOt-B-MG) TANK SIZE 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. I
* * . * TWO(2) INSPECTIONS ARE REQUIRED
Backfilling of any system without final inspection and approval by this d epartmen.
will be subject to prosecution.
Minimum distance between a well -and any on -site sewage disposal system is 100 fee
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 U' 3
I certify that:
(1) 1 am familiar with the requirements for on -site sewers and wells as
set forth by the Municipality of Anchorage.
(2) 1 will install the system in accordance with codes.
(3) 1 understand that the on -site sewer system may require enlargement if
he yle )sidenc,&s remodele.d to include more that bedrooms
Issued ssued by
7
_licant Date: -7—
0 /0 T( o A) 7,eeJ c g i t6
SWP/024 (1/31)
E)(C4
P/ACC C4-e-
V V fl V 44f,V o?G/14)
SF
Municipality of Anchorage
.� DEPARTMENT OF HEALTH & HUMAN SERVICES�� "
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
{ t�
PERFORMED FOR: AL?J-1 ��r i>DATE PERFORMI��,r�y c�
LEGAL DESCRIPTION:- L,, e 1 JCl//L'`L Township, Range, Section: /g,,�� i r c/
DEPTH �' iVL�-1 �v SLOPE SITE PLAN
(FEET) (je- Ae ,.1?C-S
I
9
10
11
.5/L7 y t,ZAVC:i—
(, \/�,/ — /ca'�/�
/L2 - L/Cot-s/LT
v L/o 4�/ 8 -
/� WAS GROUND WATER
d ENCOUNTERED?
12
H oc.c
13
14
15
16
17
18
19
20
IF YES, AT WHAT
DEPTH?
of c
S
L
--- O
P
E
Depth to Water After
Monitoring? Date: —�
■■■■E■■R■■
MEMMMEN N
ME". PAINE
MENEENEEME
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
``JJJ TEST RUN BETWEEN FT AND FT
COMMENTS'``" V4S IZC7 GXCtV-A76-1'1 S/ A o U,474& &/A5 i i `S 1E ki
t:NUINEERING
PERFORMED BY: 17024 Eagle
yyggpp,, /JR89 CERTIFY THAT THIS TEST WAS PERFORMED IN
ILATE
ACCORDANCE WITH A�� B U X7L GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
/%�" . b ,6'o X /2, ,7 ./, ���/' ��✓ j SOILS LOG
r 67
MUNICIPALITY OF ANCHORAGE
❑ ® DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: I-J E �' G DATE PERFORMED:10
LEGAL DESCRIPTION:
QEPltb
(UfT)
1
3
4 Z
5 C' C
� a
6 J
a
7
C s
8
V/
9
10
11
f
12 cti
1 - AS GROUND WATER
ENCOUNTERED?
13
14�`
15
.�.
z .`
16n
�A
17
Au
-
18
;e
19
IF YES, AT WHAT
DEPTH?
L
O
P
E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
20 L-1 PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT WD FT
COMMENTS
e %
s v CERTIFIED B -� DATE:
PERFORMED PY: �r 4,
72-008 (6/79)
GAAB-HD-I GREATER G E llGH
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 2r9-2511
INSPECTION REPORT ON -SITE SEWAGE DISPOSAL SYSTEM
NAME #s'a`L
"? ! m`
r t
MAILING
ADDRESS
`�'
PHONES`Z'
LOCATION x`'`_
! ,r "
}
-r
LEGAL DESCRIPTION
SEPTIC TANK:
NUMBER OF
�
DISTANCE FROM WELL
"" _MATERIAL_-'_ i ' —COMPARTMENTS
r•%', '�
'—
l`rM,' A
LIQUID
LIQUID CAPACITY
l F? GALLONS. INSIDE LENGTH INSIDE
WIDTH
DEPTH
SEEPAGE SYSTEM:
SEEPAGE PIT:
_
NUMBER OF PITS
OUTSIDE DIAMETER OR WIDTH
LENGTH
, DEPTH ,
LINING MATERIAL
DISTANCE FROM WELL
BUILDING FOUNDATION
NEAREST LOT LINE
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
0
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
FOUNDATIO
NEAREST LOT LINE
NUMBER OF LINES DISTA�T TRENCH WIDTH
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
e
DATE �� APPROVED ( ��-
�� L REAtH A
GAAB-HD-; '-'Rff"ATEI INCHORAGE AREA )ROUGH Case No.
HEALTH DEPARTMENT
327 Eagle St. Anchorage, A"a 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
-20 W-1313
W MAILING ADDRESS 4eO 7e,�—le'.e_.AONE NO.
NAME OF APPLICANT. D/
RESIDENCE ADDRESS LOCATION OF INSTALLATION &O'LZIP—i _S�//'� C-7
LEGAL DESCRIPTION 7' .4lW' /7
APPLICATION TO INSTALL: SEPTIC TANK SEEPAGE PIT— , DRAIN FIELD—, OTHER
TO SERVE THE FOLLOWING FACILITY � 1312/aM
FINANCED THROUGH Sit, L TO BE INSTALLED BY
PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION
f-
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS M it, 6, A /J — , PERMIT TO INSTALL A -541,5rr"41
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
SEPTIC TANK SIZE _2 TYP
E PE SEEPAGE AREA 3?10 TYPE 6�e-XI"XII
DIAGRAM OF SYSTEM /4?/ 419--
DISTANCES:
z ,I WJVI"�
77 Health Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described syst in is in accordance with said code.
DATE APPLICANTS SIGNATUR
u �;r
C
k g
A
0
— 3 3O r -s.
3�V�S
s i.5k
rm
4 V
aN
c �V
M
�N
l�
�
• •
y..
iAli
J 4
ct '
31VOS
1 1 s 1 ry
PAGE 1 OF 1
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 SYSTEM PERMIT
PERMIT NUMBER:SW920031 DATE ISSUED: 3/17/92
DESIGN ENGINEER:DUMMY COMPANY EXPIRATION DATE: 3/17/93
OWNER NAME:HENDERSON RALPH &
OWNER ADDRESS:PO BOX 670127
CHUGIAK, AK 99567-0127
PARCEL ID:05119330
LEGAL DESCRIPTION: TUNDRA JEWEL RANCH LT 21
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
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:
RECEIVED B
ISSUED BY:
Y: DATE:0 !/ C
I-A
14 DATE:
d
T• Y S � } "� � ( ,� r b i is ��., w..� �µ � � :i R 4�.. � i ' i F i $: �� i
r
7 r
r
i
-
,
V
.,.� A.
_
, Y I
+
--
(
i
—
,
�I
T
i
+ r ,
r.
Y j
r
f �
i
{
1 + r
i"
�:r,>rt:, � _..,--x3�'rn�:rmu�n.sesr• .. - .ate } .# � � � ( ;--_ r 4a.....
V ! Js.t
L
{ rj j > g y
— f
a
All}.
'L.
ry