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Home My WebLink AboutDAWN LT 1104i * o5 t O(p 1 55 / !^' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 —�/ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME �!L n GGO�G✓L PHONE GI NEW �( /C S ECUPGRADE MAILING ADDRESS 6?a Ray uerXS'&7 LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS D Y U 1, Absorption area t DISTANCE T0: Dwelling i �/ PERMIT NO. �� Z f2 w Q Manufacturer �1! O /" Materi I No. of compartments f /QN .S �7 £sc f w Liq, ca achy in gallons IF HOMEMADE: Inside length Width Liquid depth TO: Well Dwelling PERMIT NO. _00ZDISTANCE _? H Manulacturer Material Liquid capacity in gallons = DISTANCE TO: M r RLegt Foundation 4 Nearest lot line t PERMIT NO. 2 No. of lines e h ✓ Total length - A Trench width t Distance between lines / H 1- inches Material beneath we inches Total effective at'so'p,„ , area z jF" Top of the to finish grade + W Length Width Depth PERMIT NO. u H W� Type of crib Crib diameter Crib depth Total effective absorption area w W DISTANCE TO: Well Building foundation Nearest lot line J CI s Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Buildingfoundation Sewer line Septic tank Absorption area(sl OTHER PIPE MATERIALS VG SOIL TEST RATING /RV /15_0 INSTALLER KOZHG£R REMARKS �FINIs tSd10 ti/ % ivK 11 t e_ a � t -y OF At Ro►erl A. -Shafer• fC� �•.t a J •• No. _ `.90 0 AP U/DATE LEGA i S $ CIG'INCEflIP:a �V �v ,• JStFI1 IY A =V a .L[ RtV�R, ALLASAS PW fouls 1neV. s//bl I MUtJ I C I Fr,RL I TY OF= RNCH[�RRGE p i� DEPARTMENT ( 'HEALTH AND ENVIRONMENTAL JTECTION (� 825 'L' STREET, ANCHORAGE, AY,. 99501 264-4720 '� OtJ—SITE SEWER UPGRA OE F"ERM I T PERMIS' NO. C 821032 > APPLICANT FRED BOWERS PO BOX 279 CHUGIAK 99567 LOCATION LEGAL L110 DAWN S/D LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSO FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 9 LEtJGTH= 57 GRAVEL E>EF�'TH= 4 THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT 15 THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN 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 CIN FEET). REQU I REI? SEF}T I C TAtJK S I ZE= 1.1063CD GRL_L_Ot-AS 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. --- TWQ <2> I tJSF}ECT I 0tJ5 RRE REQU I REO 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. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F}ERM I T E}dF=l' I RES C]ECEMEsER 31s :I_5M82 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 THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. eSIGNE APPLICANT FRED BOWES ISSUED BY wa s] V I (*W" PERFORMED LEGAL DESCR 6• 7+ 8 - ick. 12• 13- 14- 15- 16- 17- 18- 19- 20 - PERFORMED 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 89501 2644720 SOILS LOG - PERCOLATION TEST JN: L//U V S/LTt LV A C/ ,gc,EJ y'/wut' rr�_ L/lit% -- Z— H 11-H - /✓� %�jBGI WAS GROUND WATER / ✓ J) ENCOUNTERED? IF YES, AT WHAT DEPTH? ;l OF A Robert A. Sha No. 1457-E OK SOILS LOG 0 PERCOLATION TEST DATE PERFORMED: 7? d Z SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop w0 � r PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT CERTIFIED GREATER ANCHORAGE AREA BOROWOL TER A +Depa=ent of Environmental Quality _ 3500 Tudor Road —pouch 6-65Q__ BOROUrZH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME ` ��COt�F GK1��D ADDRESS X00y-sv#99T PHONE�"�C SEPTIC TANK: DISTANCE FROM WELL �� MATER NUMBER OF LIQUID CAPACITY--/—O-120—GALLONS. INSIDE LENGi��- LIQUID H INSIDE WIDTH DEPTH EEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS ��OUTSIDE DIAMETER OR WIDTH, LENGTH_ /Cf- DEPTH LINING MATERIAL��`vO/�-/T . DISTANCE FROM WELL BUILDING FOUNDATION.0)'/C �y NEAREST LOT LINE :20 / /y 70TAL EFFECTIVE ABSORPTION AREA (WALL AREA) -!9Sq SO. FT. ` TILE DRAIN FIELD: DISTANCE FROM NUMBER OF ABSORPTION BETWEEN LINES FT. LENGTH OF EACH TOTAL LENGTH NEAREST LOT LINE , OF LINES TRENCH WIDTH IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENE.4 VE TILE I DISTANCE FROM — WATER WELL: TYPE , DEPTH BUILDING FOUNDATION. SAMPLE— , NEAREST _� NEAREST SEPTIC SEEPAGE •— OTHER LOT LINE , SEWER LINE TANK , SYSTEM , CESSPOOL , SOURCES_ DATE / APPROVED��i/ ` lg HEAL `/'�J GREA I ER ANCHORAGE AREA BOROUGH �� DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3500 TUDOR ROAD POUCH 6.650 ANCHORAGE. ALASKA 99502 TELEPHONE 279.6686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT - �� Ly-� MAILING ADDRESS - '�� PHONE INSTALLATION LOCATION poy_ 7�� s�•'J/yy LEGAL DESCRIPTION 40, �IZ4 - INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER TYPE AND 912E OF FACILITY TO BE SERVED 3f�rT/•'CDfi� f��F%��%/r �`A/��.0 FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS - �E'jf PG!'.%1'.00/� NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST Cf1-MSF>LiT p COMPLETION DATE ANTICIPATED FINAL INSPECTION. 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /OD:•T'�" ^T4 PE C�� SEEPAGE AREA /'r �/ SIZE' �T /�Pi� TYPE skeh6 , MINIMUM DISTANCES. REOUIREMENTS FOUNDATION TO SEPTIC TANK - , FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO/SEEPAGE PIT WALL--�� J SEPTIC TANK SEEPAGE PIT --710 DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD `� ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK �Q ' SEEPAGE PIT 1/0 DRAIN FIELD , SEPTIC TANK, -2-f-/ SEEPAGE PIT OG ' DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 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. .....•444 HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.66 AND THAT THE ABOVE DESC DATEAPPL CANT'S SIGNATURE SYS IS IN ACCORDANCE ^LAP / ✓ ' /t// �I�1 t7 -- Time APPLI:1'JT FILLS OUT UPPER HA!` ;SLY Property Owner FRQ� �s Phone Mailing Address pu/ Zip Code Date Buyer �f n Inspector Address Zip Code Inspector Lending Institution �.�. A�%TSL P �SC/lU«% Phone Address Zip Code Realty Co. d Agent 'T" G �ORtC – Xe1/1WAV /[ / y 4;,-` U t Phone Address _ �• Zip Code l Legal Description 1/ *CONDITIONS OF APPROVAL Street Location ,7 /•✓G ( I CONDITIONAL APPROVAL' Type of Residence DATE 0 —/A) n Ingle Family Multiple Family No. of Bedrooms_ ❑ Other Date Sewer Installed Well To Absorption Area Water Supply Septic Tank Size ❑ Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log If available). Public Utility Sewer Disposal - JZ�Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RECUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE CFPT C° 1"_'lT;f A ENVIRJta.tc.iA_ S..O,ECTION OCT 12 1932 RECEIVED (3 1 APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( I CONDITIONAL APPROVAL' DATE 0 —/A) n BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank rM3 Nei ReMax Realty ATTENTION: P.O. Box 848 Eagle River, Dear Joyce, n EXCAVATION WORK Joyce Porte Alaska 99577 e^ September 28, 1982 Reference: Lot 110; Dawn Subdivision ROBERT A. SHAFER CIVIL ENGINEER 694-2979 A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and could only be verified to have a capacity of 500 gallons. It was recommended to the present owners that they have caustic soda added to the tank and then have the tahk repumped at a later date. The seepage pit was full of water and approximately 1000 gallons had to be removed. 800 gallons of fresh water was then charged into the system and after a period of 24 hours approximately 160 gallons had percolated out of the crib. It can be concluded from this test that the seepage pit is only functioning adequately for approximately one bedroom and the septic tank capacity cannot be assured through the pumping procedure. It dill be necessary to have the tank repumped and if this does not verify it's capacity, the tank should be excavated to determine it's actural size. If we may be of further service, tllease do not hesitate to call. P. E. cc: Municipality of Anchorage Department of Health and Environmental Protection SRS 196X EAGLE RIVER, ALASKA