HomeMy WebLinkAboutMCMAHON #2 BLK 6 LT 12 („, ,biu)c -A.Aci 0
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• 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: SL...) 60o ISI PID Number: c) i 7 - s c. i - `, t
Name:
SrAa F--ISC.NtK• Wastewater System: ElNew Z Upgrade
Address: `t951` ABSORPTION FIELD
3'101 is o ccHFe.. Oe.. A.•IcW .. p-
Phone: No.of Bedrooms:
3 r-I S - 3 c.I C. :73. E Deep Trench Shallow Trench ❑ Bed ❑ Mound ❑Other
LEGAL DESCRIPTION Soil Rating J F., GPD/Sq.Ft Total Depth from original grade
12
I
Lot: Block: _SAubdiv"ision: Depth to pipe bottom from original grade. Gravel depth beneath pipe
(2 Mc. r►tsAi-1.0k) 7 Ft 5 Ft
Township: Range: Section: Fill added above original grade: Gravel length:
o i Ft 6.0 Ft
WELL: Ex El New IDUpgrad Gravel width: 2 Number of lines: Distance between lines.
t�jT ST/ V Ft _ Ft
Classification(Private,A.B,C): Total D Cased To: Total absorption area: Pipe material: A rM D3e3'+
Pk,v A-re Ft Ft L- O C3 s0.Ft. /Fel 0
Driller: ------ Date Drilled: Static Water Level Installer: Date installed:
-- C,-12.-
Ft CakRt..JS ExcA4ATta,.) 9L
Yield Pump Set at: Casing Height Above Grounc TANK
GPM Ft. Ft
SEPARATION DISTANCES XSeptic ❑ Holding ❑S.T.E.P.
To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons
F rpril Tank Field Station Tank Sewer Lines 1 AtiGT4OQAGTr -A0 _._ Ib00
I Material: Number of Compartments:
Weil- tool{ tool, ZS + S"1^eti_ 2.
Surface
Water /ao`4- 100'4. -- ---- LIFT STATION �-
Lott I Size in gallons: Manufacturer:
Line (� f to
4, SOI k "Pump on"level at: "Pu level at: High water alarm at:
Foundation IS
Curtain Pump Make I Electrical Inspections performed by:
Drain t4oAE )41o`i N -
Remarks: Fr/ 0 Gr E ><sjrca,c. Ta 4,,,c N BENCH MARK
_ , Location and Description:
.:•.mill { ,"t ILtv ••CH
T . Co.) , 3,pa.�Ar:, Tern = IN ��
r-N Ctfil._.,.) DU
I. .t
3 ' Ci A/OItIo.v11L TRE,.rC[� 404443' 4-,- eelrli p
I Assumed Elevation:
h' f. hi i fefe.• C, H 4-f M / rIGrsT,cn.. Joos
EN L
( L0 t ^ I Si rNL St,^Ira. TRf-ti,C P4mP+0 , C ettirH ih AND OF A
, LLf .) f 'S''.. , 71 5.�� I C/p R:,`.,1,,t,i 11vd.^(. (‘,•l7n.,tTrOr- 4-0'z *%.....1:1)
�f 1t—rv. i-r, sr rn.tr '.L4..t-t4 t_n1.., rat SNi4•CC ) T'N,2vv'..N rA.�.c C)�it.ET *
< C. r).wEtrf4 vgaJl. 91►
S&S ENGINEERING -•»---�-^ f
Inspections performed byt7 dates: 1st -12-9 C � +7/ '�!'.` 7 _v
Eagle River,Alaska 99577 2nd c.- 12-7c It.i ROBERT C. COWANa-`
-&c,), - 6-ac-?6 re CE-8801 �' ,r
Department of Health an9- - Services approval 4><-,. ,•,••. <Y afr;
Reviewed and approved by:( 14a' . L 4' w Date: �r117E �+,�r ;`l,'_ ;'f -�
t
'2-013,Rev 9.911 MCA 2'
Permit No. Page -- -of 2
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 Description: LOT 12, BLOCK 6. MCMAHON #2 PID No.: 01736139
0__
UT/ NEW TRENCH N t
L!`y
co SEMENT '
�_
THA 6p.,
/ FLgqW D INSTARLL:D
(BULL1E R
� --__
jOp, EXISTING TRENCH •Fo111 100' WELL RADIUS
t?'‹l A ,; Fco E11[83R1`11(A/c1 W I L
m____i
�f
\16, 41 FCtD 16.5' N
0
ic ST 25.5' 23'
ST2 31 .5' 29'
• DB .1 33' 3D' LOT 12
DB _2 34' 31 ' L-NEW 1000 GAL.
WELL FD 43.5' 4B' SEPTIC TANK
CO1 39' 69'
-202 84' 1 W0'
IC r MTI* 40' 69'
(J TETT MT2 75' 92'
L 1
\DRI V i
if
94.8' FINAL GRADE' CO CO2 = 93.5' 'SS ••...A (/
•
NEW
.. :'� 1000 GAL ` _ II CO Sc CO2— 11 :If '
SEPTIC .�..._ ........:.,. 1.d.:
....i
TANKp k ROBERT C. COWAN�ci CE-8801 , � j
SCALE 1- = Cr V rf ;.`..moi I
MT1 = *86.7' P. . ,;;'
MT2 = 82.6' ♦78.6' ` t3 ,, ' ., .iy�
NOT PIPE INSIDE
or TENCH NO GROUND W•TER � '� _iU�
7b.b" 5.0. .
72-013 A(Rev.9/91)MOA 28
•
Moi CoPq
PAGE 1 OF 1
' MUNICIPALITY OF ANCHORAGE 4 a'.c)U (Num
DEPARTMENT OF HEALTH AND HUMAN SERVICES 2D J0t'Y\
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519 -6650 //11 ��1� ��
_
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER: SW960014 DATE ISSUED: 1/25/96
DESIGN ENGINEER: S & S ENGINEERING EXPIRATION DATE: 1/25/97
OWNER NAME:FISCHER JEANNE A
OWNER ADDRESS : 3901 KUTCHER DR
ANCHORAGE, AK. 99516
PARCEL ID: 01736139
LEGAL DESCRIPTION:
MCMAHON #2 BLK 6 LT 12
LOT SIZE: 36637 (SQ. FT. )
NUMBER OF BEDROOMS : 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343 -4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4 . FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5 . THE FOLLOWING SPECIAL PROVISIONS .
SPECIAL PROVISIONS :
INCLUDE EXISTING SYSTEM LOCATION ON AS-BUILT AND
ENSURE THE MIN. REQ. SETBACK DIST. BETWEEN SYSTEMS
ARE MET (AMC 1 . 65 . ( 1 )
RECEIVED BY:
'9, 74� , /24 4,-
ISSUED BY: 04ntk DATE:
DATE:
•
/i
c . .
4' °'S & S
►� COWAN,PE.
ROBERT A.SHAFER,FE.
Elig 1ryeRInq
CIVIL ENGINEERS
ALASKA January 8, 1996 (907)694-2979
FAX(907)694-1211
HEALTH AUTHORITY
APPROVALS MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
SEWER&WATER
MAINEXTENSIONS REFERENCE: Lot 12, Block 6, McMahon Subd. #2
Request you issue a permit to upgrade the septic system
SEWER&WATER serving the existing three bedroom house on the referenced
INSPECTION property.
A test hole was excavated and percolation test performed.
The approximate location of the test hole is located on the
ENGINEERING STUDIES attached site plan.
AND REPORTS
At the time of excavation no water was encountered in the
test hole and after seven day ground water monitoring, the
monitoring tube was found to be dry.
WELL INSPECTION
&FLOW TEST
We do not anticipate any adverse effects on neighboring
wells, septic systems or drainage patterns by the
installation of the proposed septic system.
SITE PLANS
If you require additional information, please contact us.
Sincerely,
ROAD DESIGN
ay/(7)<It....__
Robert C. Cowan, P.E. M�NIC�PAIII yr faNL rtv1"�l'c
SOIL TEST RCC/gk EN1A�SERVICES DIVISION
ENVIRONM
Enclosure 15 ,.qac,
PERCOLATION
TEST R E C E 0 I ED
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER Q6-01 - 15 12 : 27 RCVD
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP•SUITE 204 • EAGLE RIVER,ALASKA 99577
LEGAL
LOT 1 2, BLOCK 6, McMAHON SSD #2 ,� '°p A��
DRAWN CKD. DATE SHT.' OF 2 •""»"••
=-� D.H.L. R.C.C. 1 -1 2-96 2 OF 2 .. , �S h
., S & S DESIGN CRITERIA: STRUCTURES, EASEMENTS, OR ENCROACHMENTS v .
%.,..,,,.e�
SHOWN ON THIS SITE PLAN ARE AS SHOWN ON �'•~� .»... « a
EYIGIEAGU IYlC7 3 BDRMS = 450 GPD , �''7.. 1 Gl --'r
2. SOILS = 0.8 GPD/SQ.FT. AN AS-BUILT SURVEY DRAWN BY: �' »�f
A`�`" DONALD 0. �A V it 1 ,� ROBERT G. COWAN i OF
450/0.8 = 563 SQ.FT. REQ D. i c, CE_8801 .IA-1
IT IS THE RESPONSIBILITY OF THE CONTRACTOR �0 ')>%,, ;•
�� TRENCH DESIGN: TO VERIFY EASEMENTS, REQUIRED SEPARATION tt) .'-; •. {;`„'
12' DEEP DISTANCES, AND PROPERTY LINES PRIOR TO
5' EFFECTIVE CONSTRUCTION. °' xZ:: ::1-:} -
2.5' WIDE ��
--- --------, 57' LONG —
\1C1r} Z
AS, ENT
EXISTINGSUP� P -- MT \
PROPOSED TRENCH
CO .....:-,
`''''''''-'---___ .ti (--_--,. .-- -=-----,-.-- '
�S, .
C \ MT 0`. — _ _
_
_ �
\`, —INSTALL PROPOSED 1000 GAL
! DBL co SEPTIC TANK
INSTALL FLOW----_, ` _
, j
DIVERTER /A20 —__
�� �� WALL R_ADJUS
Q �,oCJ ----------___0
TANK-/
_I i
WELL/� I
FCoaRj 1-1 3EXISTING SEPTIC p /TO RF ABANDONED COMPLETELY \ `� �
__F
LOT 12
CONTRACTOR IS REQUIRED TO \
08-AIN UTILITY LOCATES
I, g PRIOR TO ANY EXCAVATION \ CLIENT
WORK.
.-".I.I, PORTIONS OF SYSTEM- \ THE ENGINEER MAY VARY THE
WITH LESS THAN 3.5' OF �� \ EXACDIOIJS AND DESIGN
�` PARAMETERS IN THE FIELD, IF
COVER REQUIRE INSULATION. `� NECESSARY, TO MEET SITE
CONDITIONS.
LEGAL LOT 12. BLOCK 6. McMAHON S/D #2 4�'a pF`�riN
;—y�� DRAWN CKD. DATE SHT. 40.' 'c • s
��,y, :� D.H.L. R.C.C. 1 -12-96 1 OF 2 ���..•• ••,y,�A+'
f44 . .o, j I �RtVlbho I /)4/7 �LL AM / '4,
S & S DESIGN CRITERIA: STRUCTURES, EASEMENTS, OR ENCROACHMENTS w •.� •«» •••»�••••• �• r�+�
ngIneeRin3 BDRMS = 450 GPD SHOWN ON THIS SITE PLAN ARE AS SHOWN ON r
' tl, __-
EAGLE r' . A ........... .. ., i
fALAp SOILS = 0.8 GPD/SQ.FT/ AN AS-BUILT SURVEY DRAWN B'(. P •
�, ROBERT C. COWAN f ti�
450 0.8 = 563 SQ.FT. REQ'D. DONALD 0. SAUR + <<.�', CE-8801 �-..•.,f
/ IT IS THE RESPONSIBILITY OF THE CONTRACTOR f �,•. ;..•
,�� TRENCH DESIGN: / TO VERIFY EASEMENTS, REQUIRED SEPARATION �t, ,:•.., ,
12' DEEP s" c DISTANCES, AND PROPERTY LINES PRIOR TO `I.."' i:;_:. .,: • =�
5' EFFECTIVE /) CONSTRUCTION. s-• _ ''`
>~ 2.5' WIDE LOT 4 AREAc,
�•---57 LONG _ f LOT 5 CONTRACTOR IS REQUIRED TO
OBTAIN UTILITY LOCATES
0 PRIOR TO ANY EXCAVATION
N To' uric A / WORK.
a cV — �_fASF,�.��r r.� 1o,.
EXISTING SUMP� �c,,.,MT , 57P�E•D'TRENCH
' kizF 'T_-±_
`MT>1P.0:0___C:
—
oLOT 13 INSTALLPROPOSE1D1D 000GAL LOi 6
INSTALL FLOG �� DBLCOSEPTIC TANK_ _�NJG DIVER TER i CO fi L A r _ _ _�r�I C Hd_y \ ` WELL RADIUS
‹ ° ., EXIST/N �� WELL 1`
~� X14. EXISTING SEPTIC TANK Eco BDRy Hods 1 —`
G, TO BE ABANDONED COMPLETELY � 1 !
-._ ------____LLOT 12 %
` �_ WELL 11
J _ ~~� _
1(0-7,�.
_` \\
AREAr' �E_ �� LOT 11
1111111111.1'
WELL \
=� LOT 1
up . (1\ �_
/ J�N. o
Irl ' \'\� � \ �.. \� ,\ CLIENTS/ \ o
• ALL PORTIONS OF SYSTEMc
WITH LESS THAN 3.5' OF I\ 00 LOT 27L- �, \ THE ENGINEER MAY VARY THE E-
COVER REQUIRE INSULATION. ti E%ACT L4MEIJiONS AND DESIGN
• _ / �\ \ PARAIAETEF: IN TME FIELD. IF
.,.,\'� y LOT 3 ,'" \ NECESS#R'. 10 MEET srE
maitlettININCt
4001-_,
r .as, a
Municipality of Anchorage N�+ / ,�� %'-L,'
i,�+.
4• 1- DEPARTMENT OF HEALTH litggiAN%EFrVi R C VD e t
825 "L" Street, Anchorage, Alaska 99502-0650 e, ... .-. ....; -
SOILS LOG — PERCOLATION TEST �r ROBERT C. COWAN �1,�;
c�,.. CE-8801 ..r
tt
PERFORMED FOR: S r ll",/ f-7(r ' ` N • DATE PERFORMED: ' r••. '•jt"4.k=r
,de.7—
LEGAL
LEGAL DESCRIPTION:"T I a 8i-a 6 /"1 ‘,1,1,...Na,.;Township, Range, Section:
DEPTHSLOPE SITE PLAN
(FEET) 0•4_4,,c_ f
1 1 'c.o'
N
2 t1. I. O.RCa,,,. c %
3 - " - -_ 51 t
4 - '',;(, S/1
5 .-/.- Al- 4 PA
�-
1• ' -15 12:2
Q96_01
8
9 ' 0-.
c• 4 P°` Y WAS GROUND WATER
10 ( Ad P C�:2441•) ENCOUNTERED? C
11 - 6 .- • G/lAa�� — L — —
fA�O IF YES,AT WHAT - — o
DEPTH? _ p --
12 — I!b. r+,l►ruRE E
'I . i Depth to Water Atterj !11/ -
13 —\,;• - Monitoring? _ R Dale: y
Reading Date Gross Net Depth to Net
i Time Time Water Drop
15 - •-_ D. PRi 10A-IC
1/}/016 I2:. 0 A — r 31,4-v
16 -4. 4. /at 0 1 / •N,Ad Ad r Va .i 3/,Q..
a /? 1 0 •r 4h4"17 - •- - i A.; dr r ,gyp..
l - l
. 12 :01. 6 '/i6 ..
18 - E -- RC. #1. ix : a7 6 '/y `
19 -
20 - I.
PERCOLATION RATE __• 3 (minutes inch)PERC HOLE DIAMETER v
TEST RUN BETWEEN g I/j` FT AND 1/2_ FT
COMMENTS tZ y c,4 v 4 r id 13 y Cslk L .f .1 % -
PERFORMED BY: S&S ENGINEERING I A ,_ CERTIFY THATHIS 3 EST WAS PERFORMED IN
17034 Eagle River Loop Road No.204 1 i 11 / 9
ACCORDANCE WItilleltiiiiMitiiialOWL GUIDELINES IN EFFECT ON THIS DATE. DATE.
ROBERT C. COWAN, RE.
ROBERT A. SHAFER, RE.
CIVIL ENGINEERS
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
(907) 694-2979
FAX (907) 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD OESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATE R
DISPOSAL SYST EM
DESIGN
REFERENCE: Lot 12, Block 6, McMahon Subd. %2
January 8, 1996
GENERAL:
1.
J
96-01-75 12:27 RCVD
The scope of this project includes the installation of
a 1000 gallon septic tank and leachfield trench to
serve the three bedroom residence located on the
referenced property. The existing septic tank is to
be pumped, crushed, and abandoned completely. The
existing leachfield is to be abandoned such that it
may be used in the future.
Construction shall be in accordance with the approved
site plan and design drawings, Municipal permit with
any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal
Regulations.
The contractor shall be responsible for obtaining any
necessary underground utility locates.
Unless specifically agreed otherwise, the property
owner shall be responsible for final grading areas
subsequently depressed from soil settling.
Contractors installing wastewater disposal systems
must be certified by the Municipal Health Department
for system installations. Owners installing their own
systems must also receive prior approval from the
Municipal Health Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified
septic tank manufacturer. Construction shall include
two 4" cleanouts for pumping access.
The septic tank shall be sUfficiently bedded to
prevent settling or shifting of the tank.
Ail standpipes on the septic tank shall extend a
minimum of 12 inches above final grade.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
Page Two
Lot 12, Block 6, McMahon Subd. ~2
January 8, 1996
e
e
Septic tanks installed with less than 4 ft. of cover shall
be insulated.
A foundation cleanout shall be installed one to four feet
from the building foundation. In the line between the tank
and the leachfield there shall be two adjacent 'cleanouts
(unless an effluent pumping system exists within the septic
tank). These cteanouts shall be located on undisturbed
soil not more than 10 ft. from the tank. The first
cleanout, in line, shall be to clean toward the leachfield.
The second cleanout shall be to clean toward the septic
tank.
Final grading over the septic tank shall be such that a
positive slope exists away from the septic tank.
ABSORPTION TRENCH/DP, AINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on the
design. The bottom of the excavation shall be within 2
inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed-up) before
gravel (sewer rock) placement.
Once the gravel is installed, the distribution pipe is to
be installed level with the perforations faced downward.
Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
e
A silt barrier must be installed between the final gravel
layer and the native soil backfill. Ensure the silt
barrier covers the entire gravel surface before placing
backfill.
Monitor tubes shall be of four (4) inch diameter,
installed approximately in the locations shown on the
design, and extend a minimum of 12 inches above final
grade. The portion of the monitoring tube extending
through the gravel shall be perforated from the bottom of
the trenoh to the invert of the distribution pipe. This is
equivalent to the effective depth of the gravel as noted on
the design.
Page Three
Lot 12, Block 6, McMahon Subd. 92
January 8, 1996
Backfill over the final gravel layer must not be less than
twenty-four (24) inches. Insulation must be installed when
the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent
the formation of a depression after settling.
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be
constructed by a Municipally approved septic tank
manufacturer.
The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
Type of Pipe
Perforated Solid
Cast Iron
ASTM D3034 (PVC)
ASTM F810 (HDPE)
ASTM D2662 (ABS)
Yes Yes
Yes Yes
Yes No
Yes Yes
Use of a type of pipe other than listed above must be
approved by the inspecting engineer.
Insulation shall be at least 2" thick extruded direct
burial polystyrene (Dow Chemical Company Styrofoam HI or
equal).
e
Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N,
or equal) must be installed between the final leachfield
gravel layer and the native soil backfill.
Ail leachfield gravel (sewer rock) shall be 0.5"-2.5"
screened gravel with less than 3% passing the #200 sieve.
When sand is being used as a filter material, its gradation
specifications must conform to current M.O.A. or D.E.C.
requirements.
Page Four
Lot 12, Block 6, McMahon Subd. ~2
January 8, 1996
INSPECTIONS=
Typically there will be a minimum of three (3) inspections
required during the installation of the wastewater disposal
system. These inspections will occur as follows:
The first inspection must be conducted after the
excavation of ditches, pits, trenches, or beds and
before the installation of any gravel. A septic tank
may be set in place, but may not be backfilled before
this inspection.
e
The second inspection must be conducted after the
placement of the silt barrier, gravel, distribution
lines, standpipes, cleanouts, and insulation, but
before the placement of any other backfill.
e
The final inspection is to occur upon final grading of
the property.
Often there will be more than these 3 inspections required.
Especially with the installation of multiple trenches, sand
filters, pressurized distribution systems, etc. Thus, the
inspecting engineer is to be contacted at least 24 hours prior
to the start of construction. If necessary, a pre-construction
meeting will take place on-site. The inspecting engineer will
not coordinate, direct or control in any way the contractors
activities.
The owner shall contract with the contractor to perform the work
outlined in these specifications and plans and in accordance
with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S
Engineering. S & S Engineering shall be the owner's
representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the
contractors work rests with the owner and the M.O.A.
Page Five
Lot 12, Block 6, McMahon Subd. ~2
January 8, 1996
S & S Engineering shall have no liability to the owner or to
others for acts or omissions of the contractor or any other
persons performing work on this project or the failure of the
contractor to carry out the work in accordance with these
construction documents. S & S Engineering's inspecting engineer
will not be responsible for the construction means, methods,
techniques, sequence, procedures or the safety precautions
incident to this project.
CONTRACTOR/INSTALLER
GRE,ER ANCHORAGE AREA B04.1GH
;�YlVi , ' Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE ISO
SYSTEM
NAME �"' MAILING ADDRESS IRO, /'✓(!)1 /Si/ a PHONE
AV
LOCATION LEGAL DESCRIPTION6,41" i,g Gxe �p „, �~A �•D
SEPTIC TANK: dp-
DISTANCE / NUMBER OF /
FROM WELL //S MANUFACTURER / /1 MATERIAL Arf_ COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH_ LIQUID DEPTH LIQUID CAPACITY�OGALLONS.
TILE DRAIN FIELD:
r r TOTAL LENGTH
DISTANCE FROM WELL//S FOUNDATION /U f NEAREST LOT LINE /4 OF LINES i'O
NUMBER OF LINES / DISTANCE BETWEEN LINES IY/# TRENCH WIDTH,2°IN. TOTAL EFFECTIVE
/
ABSORPTION AREA 1100 SQ. FT. LENGTH OF EACH LINE 4/0
/� � DEPTH OF FILTER /'
DEPTH: TOP OF TILE TO FINISH GRADE -/ MATERIAL BENEATH TILE _SO ,41: ABOVE TILE / IN.
WELL: ,`� ��Jf
2
TYPES„, kOQ CONSTRUCTION ___ DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION , LOT LINE , SEWER LINE , TANK , SYSTEM ,
CESSPOOL . OTHER SOURCES
APPROVED DISAPPROVED REMARKS __ — ___.
DISTANCES: DIAGRAM OF SYSTEM
D - -
INSTALLED BY: P17i '0°4444 Y;
I
SEWER LINE DEPTH: 7 C'. 115‘
10 I� � `
IL
PIPE MATERIAL: 44" 'C „1 ` 4 / 14
dry% "
LOT SLOPE: _ /
REMARKS: /SS
DATE Dpir
'/-7.S APPROVED __' _
G.A.A.B.
Form EQ-032
lY /
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GREATER ANCHORAGE AREA BO jif!l �f J
L.- Ig DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. --
3330 "C', STREET ANCHORAGE, ALASKA 99503
��• — — TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT _ • _ - - - .&i ' MAILING ADDRESS S�' ' - - - PHONE
g •t-C'„.
INSTALLATION LOCATION _/7/reLXX yZ� i/V .%)22-,',1---?
l
LEGAL DESCRIPTION / /;' _.....<6.e- ///! ��i-')-,..- `- - /`/ -
INSTALLATION OF. SEPTIC TANK SEEPAGE PIT , DRAIN FIELD / OTHER ,
TYPE AND SIZE OF FACILITY TO BE SERVED ✓--yl""----,---',%-.7%r 5-7- -,-z—„„,-.......--,,,w7."5.---//77-- 7" �/ ;-47,-"</�
FINANCED THROUGH TO BE INSTALLED BY - - ”
SOIL TEST RESULTS �� > �` 'e �" l�'/4t-i NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION. 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE — - - _ TYPE ,e9.-4-2,,,,,----A, SEEPAGE AREA SIZE TYPE -- -
MINIMUM DISTANCES. REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK _ . '
\'[
FOUNDATION TO SEEPAGE PIT . DRAIN FIELD- �-�
>77.-- 4-.' i —' r_;'
SEPTIC TANK TO SEEPAGE PIT WALL
// .�- - r „:<",./ �/-7'�_i‹_fes �-,
SEPTIC TANK . SEEPAGE PIT J DRAIN FIELD J
TO NEAREST LOT LINE. . ,---44' )0-4,,,,,, ,-,-,....-44,---,
WELL
Zi♦/l'�--cam*
WELL TO SEPTIC TANK / ( , SEEPAGE PIT -/eA/' 6:7',.."-- -j-7-5 . , J �-
.` '-` ..:',•'.4.- ,,,-.4 _,'-',
DRAIN FIELD —.— . ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK / SEEPAGE PIT J/ ���s//-� '
DRAIN FIELD 1X4,1.7-7- _,
f7 -
SEPTIC TANK, /C/��SEEPAGE PIT , DRAIN FIELD '�e" r-y) __,,,-7.,(47_,--','✓C.77.4 -�
TO RIVER. LAKE. STREAM. / 24/1
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL. _ /i�e. ( ff�fJ'l rS�,f. ��2
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. ' ' { ' -
G.A.A.B. t '
OR
LICENSED DESIGNER - -
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ///,��/` /�/I��'/-' '-
DATE //J/' APPLICANT'S SIGNATURE -�' �-�- � '//
cn ou un cn.n,a
Pertorsr to Steve Siversen nA : . Fe!frn
. ecu 12 June 75
Legal F? �:,riFt. r.
irz: La12 El::cic_ $ S -b<1.!.,-, a. on McMahon --- - -
This F:rn R.tparts a, Said Log_XX__—_-__ __..�__'e::o:.a�i7,c. :erst__ _—_._.__..
Feet a0I', ;7,EU,RACRER I S'I 1:: LOCATION Sift"CCH
soil The sediments were fair :
2 1 compact with a moderate ..ti.`
water content. There ce► _—I `
were some silt and Sm ' i , 1,
layers but these acc- 4_i_ _._ -.AMID 414.'
MP
for less than 50h [
Gin of the total sediments. t!
IIII III
..i.—.1. .4-Ti.._ _ _..,....._i_
+aa Ground hater 1:ncount'redt No
ft yes, At 1",iat Depth?____.— -- -- — _-.-
i
READING DATLr— CROSS TP'fiy NET TIME. DF?TR TO N ( Sr. rR',f'
--t
-i-
...... ______ _ __ __-�— ____—_t- -4-
i -f--
Pre:,. La: tc ,Rate ?A nute
P-. p.s,7..(1 iliac,1iattrri .t ; age F.t DC.d1: F, ...
i,.,s z :: at Inlet "?t h T:, 115. •..r71_ Pit n: T:tne'l_.._.16..ft"
:�i:;;-` __ Gmto`Gw at 155sgft/bdrm
Tcst Per`.v.:me4 By:_-Pe CCO !Lite 12 June 75._ .
C: t A rerLifi&A q•.. / �eiCi�C�%V
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- Certified Weil -
For -.__Steve Syvers.on
• __ Location Lot 12, Block 6, iI Ma n Subdlvlslo.
Date Completed .._7/1.0/75 SW +' SE �£ ��i ' /
Depth of well ...177 Fe.e.t
Size of casing -..Six.-.Inch ,�
-'t
Distance to water 15.5....FEet
Distance to water while pumping - 1.72...F.e.et at rate
of 600 gallons per hour. ,..... •
irr-
Description of Formation . . from to
• C?ay,_Sancl&Grave.1_ Br_n_,___.Soft - 0___
Clay,Sand&Gravel Grey Soft • ' 5 15 .;
- . 12_9.r o aravel Grey Soft 15 I 25
'Clay, Sand&Gravel Grey: Med. 25 I 45 ` :
• lciay_o_San_ , ravel Grey-.Har 4 100
' l ..1:k
CI,----, Sand.&Gr_av el AluGrey MI-_100__. 131----
Clay, SaGrasel.. SoLey_e e_- 135-__ _175 • ')
Sa• nd__&.ravel Brn.1.11th 75_
Water ''', 1 _--- 177
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I certify the above true and correct.
Driller -
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FOSS DRILLING MUNICIPALITY OF ANCHORAGE
2338 ING!IA PH. 279-2849 __T _ ,,_....; .
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ANCHORAGE, ALASKA 93501 ENVIp ..I; I A • AI, r . j5 .
We advise you to attach this certificate to your deed. " �• 1982
_ . . . _ _ . . - - - _ RECEIVED
' - R S J titiI c`` x • a •l' -.•-: •.!:,,,,,,'-: ::"
fy
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GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
CM,, r \.
Time of Inspection (D.o Q - {)fnUQ
' f
• , 0 Date of Inspection \ -)— 2 / *1 •5")
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
n
1 . Approval requested by: (\ V- ; r, 1-,'Q l r]vY\m? 1C D
Mailing Address: fl 1 , ��,oY L Phone: ,q,(V1- a1,04-1 I
2. Property Owner: 2\-t-o, 01 cif � y1 Phone: ���,_ g ��
Mailing Address: 1 ,Q, � ��-,� ,s � �F_ - CA OA ‘4
3. Legal Description: 4 ( I. (Ylc ,-- J)I)
4. Location: L/` /
5. Type of facility to be inspected ,\-\1_ No. of bedrooms
6. Well Data:
A. Type l ti .LA . , r-‘ 'U B. Depth
C. Construction D. Bacterial Analysis
7. Sewage Disposal System: amu-n, raid ,�
A. Installed (� �,� 1C\�1� B. Installer
C. Septic Tank: 1 . Size 2. Manufacturer
D. Seepage Pit: 1 . Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances: i(f / yJ
A. Well to: Septic tank /,1-9 , Absorption area / 2-0 , Sewer Lines ,
Nearest lot line , Other contamination •
B. Foundation to septic tank , Absorption area •
C. Absorption area to nearest lot line _ •
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Rest for Approval of Individual s r & Water Facilities
Legal Description `/ to k
Comments ciedt
Approved �� �� Disapproved Date � � j7-
Approval ✓
Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
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" I iN
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C " St . , Anchorage , Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1 . Type of Inspection : CMRO VA FHA CONV i
2 . Property Owner : `piece �7 V et _<)_')
Mailing Address : _Sri') 1<-'X 1 r?J 413 Day Phone ,3i/`/- $Sy9
3 . Name of Buyer : -5 lei/ fey F S<<)1i-
Mailing Address : 5 L TOo( he R H Kb Day(( Phone ��- /S /
5
4 . Name of Lending Institution : Mask° i�CinK o4 ( -Mailing 1 i ng Address : ')/2 LV' 7/' ' /9LYc' Phone e7-
5 . Name of Realtor or Agent : Ary - / V77, Xf;2/21 /'
Mailing Address : 2 '/ k/A/ 4717/__5 Phone 27ix//
i�
6 . Legal Description : 6 /4/
/ p /3/i.
Location : ,4 ///r11/2i )-- l i* �/1 I//l/c 21z/64 /c-'14//7 ._3/1'/
rljz/ • J ' /e-C1-
7 . Type of Facility to be inspected : 3 No . Bdrms .
8. Water Supply
Type of Supply : Public Utility Individual
If Individual , number of dwellings presently served 1
If Individual , depth of well
9 . Sewage Disposal System
Type of System : Public Utility Individual (on-site ) !-
If Individual , date of installation A uq rp ±
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