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HomeMy WebLinkAboutHULSE LT 3Hulse Lot 3 #050-521-05 Municipality of Anchorage Development Services Department Bugdlrg Safety Division ' Onsite Water and Wastewater Program. 4700 Brag"St. P.O. Box 196650 Anchorage, AK 99519-6650 Page I of www d.enchorage.ak.us (907)3017904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number: 5 W rr/0215' PID Number: 05c, - '5ZJ — 05 N.ar Qe+,ni5 � TDLANSoL^ Wastewater System: C] New ®Upgrade y4ve . ABSORPTION FIELD Plum Nunlrr of B-euom- q o'1- (0-14- 9;94-75 �D• Trwcrl 13 ShIMM Tr•rue O EW0Wurle Oman LEGAL DESCRIPTION SM R-anp OryS Pox Tom D•DV• Dom org" 9 V rrG 3' A+4vc fl. BD La SYDT'rrn Hulse Ada D•rmr PP eaean lmm aq^.IpW `` Dr-gl Wplll erwm Pp• S _ ya✓l 5' �n4x JP. R N �'� 1 w s«norl 23 f.4 a 8amm orlpn-I 9r -^ Dm wl Longs,Twwv+P 63.S 14 R. R. Well: N A ❑ New E] Upgrade DrMI•.lopl l 3 fl, NunMra rr• p-oru•u-taw•n rnK u A pl G-• IXW%(Pnmr. A B. c1 Torl Doom, ••ob Tom aa"rpwn am, 1 333.3 Pp•M-rrrl PV �+ Ft. R F2 Dour Gr 67 D-rmwun q -Z.1 S Pt -4. Y. Po eaaL Gurq lrym Aaw•GO TANK GP4 fl. R SEPARATION DISTANCES XSepbc []Holding ❑S.T.E.P. ❑Other. To FromTank septic Absorption Field LIR Staaon Howing Tank blIdPrnete4a�1 sewer une " —r- v-rnLl^,sr.L 1 a^ L D"""Y I, Zso d -t I / M•rrul S' Nunn" a GanPmrwb Z WON too, + 1001{ LIFT STATION NA La U,, l 3S + , to + �- s• an acwn� oN 90' 'Pumpon'rwla 'PvmDorr Mpnwm-rrm" Paaq-Dm' t — PunD r-lu PJ•aQK-I IAp-c0orr grbmra DY cutin Dmn "•^ "' BENCH MARK Lauwn •rq D--rnlx o TO 0� w� Il h�4d .wm.a r..aM IoQ R ;7 Inspections performed by: F.ocl Kinn[ — Dates: 1" 9'19'05 1�%,.••••.l�y 11� Development Services Department Approval k ' ^ ►+ '' *tai .: ✓ Conditional Approval Date: ` /J Ro ey P. Kinney, Jr. •�.�, i gr � ��.� In Date' �� . J Reviewed and approved by: t �� (a« owe) �•\O��e July 18, 2008 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 S. liragaw Street Anchorage, Alaska 99519-6650 Attention: Ms. Deb Wockenfuss, Engineer On -Site Water & Wastewater Program Subject: MOA On-site Wastewater System SW050275 Hulse Lot 3, Final Inspection Report Dear Ms. Wockenfuss: Please consider this letter, including attachments, as the Final Inspection Report for the subject on-site wastewater system. In accordance to AMC 15.65.150.F., this report includes: 1. An as -built plan on 8 %2 byl 1 inch sheets. 2. An as -built profile on 8 %2 byl 1 inch sheet showing invert elevations of tank inlet and outlet, invert elevation of the beginning and end of distribution pipes, elevation of the ground surface, monitoring well bottom and description of the elevation mark No water table was detected in the monitoring well. 3. Two distances (swing -tics) to one tank standpipe and one drainfield standpipe. 4. No additional soil logs. The soils did not differ upon which the permit was issued. 5. Justifications for departures from permit conditions see below. 6. Copies of all agreements required by AMC 15.65.040.D. — None obtained. Special provisions for the permit issued August 10, 2005 included: a. Maximum depth of the proposed absorption field shall not exceed 13 feet below original grade at any point. b. Additional soil test hole, percolation test and 7 -day ground monitoring shall be conducted for reserve four bedroom absorption field at time on construction. We have summarized your On-site Sewer/Well Submittal Comment Sheet items below and provided our responses in italic: ✓1. Please review AMC 15.65.150. — Me have reviex•ed this section entitled "Inspections of on-site disposal system installations ". --f. The as -built site plan must be to scale. - The attached as -built site plan is to scale and on 8'/: by 11 incl: sheets. ✓3. Swing ties are required. — Slicing ties are provided on the asbuilt site plan. -4. Were the seepage pits/tank neat the house abandoned per code. — Yes. ✓5. Detail 2 on page 1 is not "As -built". — New as-buill sheets have been developed, see attached. MOA On-site Wastewater System SW050275 Hulse Lot 3, Final Inspection Report Page 2 of 2 v6. The profile shows the system at 16.5' below original grade ,A. AMC 15.65.060.A.2.B states that the bottom of the absorption area may not be located within four feet of the seasonally high ground water table. %B. AMC 15.65.060.A.2.0 states that the bottom of the absorption area may not be located within six feet of bedrock or any other impermeable barrier.—Asbuilt grades are shown in attached drawings. Svstent as constructed meets referenced AAIC codes. ✓I. The tank inlet and outlet are the same! — Tank inlet acrd outlet elevations have been revised to reflect a 4 itch differential elevation per tank supplier shop drawing. vk Further review will be necessary and additional comments may be made. — Noted. ,,-A field survey was completed this week for the horizontal and vertical location of the system. With regards to Item 5, permit special provisions and Item 6 in your submittal comment sheet, our asbuilt survey indicates that the bottom of the absorption field (deep trench) has not exceeded 13 feet below the original grade, please reference the bottom of monitoring tube elevation and bottom of test pit elevations in the attached asbuilt drawing sheet 3. ,At the time of construction one additional test pit (TP -I1) was excavated at the alternate absorption field site as indicated in the permit special provisions, see attached Soils Log - Percolation Test report as provided to you in our previous submittal dated May 7, 2007. Please call me at 694-2332 if you have any questions or need additional information. Sincerely, Rodncy . Kinney, Jr., P.E. P. Kinney. Jr. PERMIT NO. PAGE 1 OF 3 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 WASTE WATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3, BLOCK 4, HULSE ADDITION SUBDIVISION P.I.D. NO. Cq TFS A �eNU f 5 � \ EXISTING WELL. \ \ TAM, TOP WELL \ / CASING, EL.=101.21'1 \ LOT 3 _ \ \ 1 EXISTING 4 \ \ BEDROOHOUSE \ RESERVECO6 / LOCATION FOR S� REPLACEMENT `sd' NEW 1250 GALLON TRENCH. M T 1 q� CO 1 SEPTIC TANK T -1J TP -3J �� y� 4j3 ST1 * SOL' ST2 �� TP -2J 10' / �CO2 83.5 L.F. CO3 DEEP TRENCH, C05C04 — SEE P GE 3. _ I I I I I I I I I I # STA. INV. EL. C01 0+04.00 96.91' CO2 0+61.79 93.15' CO3 0+62.75 92.85' C04 1+41.25 68.38' C05 2+08.43 63.93' C0612+92.751 64.01' SCALE: 1"=60' PERMIT N0. PAGE 2 OF 3 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 WASTE WATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3, BLOCK 4, HULSE ADDITION SUBDIVISION P.I.D. N0. 102 SEWER LINE PROFILE 50.50 L. F:, ASSUMED BASIS :OF a 4" SCH. 40 ELEVATION = 101.21' in PVC 3034, (TOP 'OF WELL) N GRADE= -6.5% 96 90.75.L.F............. 4" SCH. 40 -PVC 3034, .o 72 INV. EL.= GRADE= -31.2% .93.88' EL.= C-4INV. N "� MONITORING 93.55 �....'-�� v ..... =o II TUBE ;. BOTTOM NEW 1250 GAL + � Z w EL.=55.89' SEPTIC TANK.,... ,;. i17 rn + j rn OJ W O Z W >IQIJ> Z... rnUZ 0+00 . OF ALq \%1 or �) Ag e .......... . .go ''.Rod y P. Kinney Jr.: `t ��o •'• C 795 I— V) Q I— 0 LO4.... to � II O J Z W Q W j J U Z......... 84.32 L.F., 4" SCH.: 40 PVC 3034, GRADE=0.1% 102 .9 ncD.. 84 cV F;, cD {'O_j N Z W . Q V UZ.. 78 72 67.18 L.F., 4" SCH. 40 PVC 3034, 83.5 L.F. GRADE= -6.6% DEEP TRENCH 1+20 SEE PAGE 3 HORZ. SCALE: 1"=60' 2+40 VERT. SCALE: 1"=6' .0 PERMIT NO. PAGE 3 OF 3 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 WASTE WATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3, BLOCK 4, HULSE ADDITION SUBDIVISION P.I.D. NO. MT1 4" PERFORATED PIPE (PERFS DOWN) SLOPE= 0.0% �l 1 6" GRAVEL T 8' GRAVEL DEPTH BELOW PIPE EL.=55.89' C05 EL.=67.39' C06 EL.=67.39' f FINAL GRADE FILTER FABRIC C05 EL.=64.01' C06 EL.=64.01' SEWER ROCK NOTE NO GROUND WATER, BEDROCK, OR IMPERMEABLE BARRIER FOUND TO THE FOLLOWING ELEVATIONS (BOTTOM OF TEST PIT): SCALE: NTS TP -1J = 45.9' TP -2J = 38.6' � OF AL TP -3J = 34.2' !�, _.• .'• TYPICAL END VIEW TRENCH SECTION Municipality of Anchorage Development Services Department Building Safety Division OnSde Water and Wastevrater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 995116660 www ci anchorage sk us (907)34337904 Soils Log - Percolation Test mr Pedoed For: D e n Mt s L tyt A /A- 3O N 4 v� Dale Legal Description: H ,,1 S e- k d1 5ti b�l 1-3 Tovmship, 7'-35 Depth �� I oQc4,A+i�S 5- COMMENTS TAN SAVOY SiL-T f 7A+Acb 044, WAS GROUND WATER ENCOUNTERED? NO e F YES, AT WHAT DEPTH? -� L O 0ep/hnaWring? r JDAIE e Date9 ?-0� A ••. e �• : Ro ey P. Kinn . Jr. ; C E 7 1, _•��� Reading Date Gross Tine Net Time Depth to Water Net Drop 1 °i.71 3;15 o,In n" 3:45 ON 3,7 ,». 0 .. -its r. 3 5-2I 9 :►5 h so o" ti s 4 g-zt 4s�+5 u„ C) 8" PERCOLATION RATE , (mne.Ynth) PERC HOLE DIAMETER (p' TEST RUN BETWEEN 8 FT AND '_FT PERFORMEDBY: W, G " I P01 Llvrn CERTIFY THAT THIS TEST WASI PERFORMED IN ACCORDANCE LL STATE AND MUNICIPAL GUIDELINES IN EFtECT ON THIS DATE. DATE: Z/ O� 3 I E OF, A jq A •. Municipality of Anchorage F' ' Development Services Department /• Building Safety Division • • • • • ' • ; Onsite Water and Wastewater Program /r; • • v 4700 South Bra aw St % ef,•, Ro ey P. Kinn . Jr. P.O. Box 196650 Anchorage, AK 9ZI9-6650 +•!'� �E 795 Y ,••�a', 0 www ci anchorage situs ' ]]J� (907) 343-7904 �,�1�'�UFE Soils Log - Percolation Test --- Peftrmd For. D Qtn h 1 S 4 6,,%4 „Joh V1 ey Date Perfomred: 2e1 0 Legal Description: j..1 y I S e- k d 1 5,61 L3 Township, Range, Section: 7 I`f JJ , M1 (w t Sec 'Z 3 35 Depth �= I pRL4iu/Lf COMMENTS TAN SANQr Sits) 7AAei: ORGt, WAS GROUND WATER ENOOUNTERED7 ND 6 IF YES, AT WHAT DEPTH? D•pthto WMar Afr•r D Nn�E Monitoring? R Dale. 9 28 D$ 33S Reading Date Gross Time Net Tune Depth to Water Net Drop I °I . ?.1 3.15 o , 0.. Z `f.ti 3 4S 3.0,.,7 0" -18�� 3 5-z► 4 . IS ., so ,,,, 0-0 t H PERCOLATION RATE r (m••x••nxr) PERC HOLE DIAMETER (p" TEST RUN BETWEEN FT AND IT PERFORMED BY: W, NBA I FOA e-I.�n CERTIFY THAT THIS TEST WAS/ PERFORMED IN ACCORDANCE WIT LL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 'meq' it -1(/D_7 1 ���Ga, ..•A pry Municipality of Anchorage R :`:..::. Development Services Department Building Safety Division • • • •' • • • ...... yt OnSde Water and Wastewater Program %I:. R dney P. Kinney, Jr. ; 4700 South Bragaw SL P '. VC 79 P.O. Box 196650 Anchorage, AK 995196650 �✓Jf 7 U(907) 343 7904ci anchorage k us �,IL uiab!�_ Soils Log - Percolation Test I I Performed For. D Q W W I S 1 L t ✓%,A e, I a L ✓14 mn Date Performed: f Z) / 0� Legal Description: P t, I S e �.d1 Su �� ✓, 7 Township, Range, Section: T I`l tj , R I to i S cc Z7, -F?-33- Depth �:-� I O A CAiANI L $ 10- 11- 12- 13- 14- 15- 16- 0- 11-12- 13- 14- 15-16- J 17- 18 - COMMENTS WAS GROUND WATER ENCOUNTERED? ND b F YES, AT WHAT DEPTH? 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C� �=yo '•x^ >Z ten/ y 00 P7 r I0 17, 1� 10 to 0 10 10 1 10 Ica O N _ � O OD ++ jr + i e''• •'l� f �� O O O Xrl 46 �� I0 17, 1� 10 to 0 10 10 1 10 Ica O N _ � O I0 17, 1� 10 to 0 10 10 1 10 Ica O Z cn m M rn m X ICD Z 9 r0 N (nm mx vN 0 n z Z (no /n mL D .m ll 1 I I 0B FA 1 0 i\I ^m it a m mx I o I \ fJ fD 0 g voice A� H iI 2 � . A D m in _ -1 Z 0 X l 1 O ii O � I I N O I O O y 1 y \ (nm mx vN 0 n z Z (no /n mL D .m ll 1 I I 0B FA 1 0 i\I ^m it a m mx I o I \ fJ fD 0 g voice A� H iI 2 � . A D m in _ -1 Z 0 X l 1 O ii MUNICIPALITY OF ANCHORAGE Development Services Department II I On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO50275 Legal Description: HULSE LT 3 Design Engineer: 0833 Rodney P Kinney Associates, Inc. Owner Name: DENNIS & LINDA JOHNSON Owner Address: 25238 CATES AVENUE EAGLE RIVER, AK 99577-9694 Date Issued: Aug 10, 2005 Expiration Date: Aug 10, 2006 Parcel ID: 050-521-05 Site Address: 025238 CATES AVE Lot Size: 93092 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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. 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 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. 5. The following special provisions. a.) Maximum depth of proposed absorption field shall not exceed 13 feet below original grade at any point. b.) Additional soil test hole, percolation test, and 7 -day groundwater monitoring shall be conducted for reserve four-bedroom absorption field at time of construction. Received By. Issued By: Date: & �/ o Municipality of Anchorage �• Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. Permit Number SW Propertyowner(s) Div r) Px, L IndA S l7hSo.n Day phone &qY- $N7$' Mailing address 25 2 3 5 6o r_5 AU E. P_ AKZip Code C1V15-7-7 Site address '1S775 c. e S At)C Q Ak 11 Zip Code 9 S"11 Legal description (Lot, Block & Sub'd.) �-i U (S c Lof 3 Legal description (Section, Township & Range) TlyM , P—1 W < , y Lot Size °130 2. Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only 0 Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application Is being made for a Single Family Dwelling ani in accordance with applicable Municipal Codes. (Signature of property owno'or authorized agent) Permit/Rush Fees::W41 c(1 .Cx, Waiver Fees: Date of Payment: — `7 1A -3 Date of Payment: Receipt Number. 111 Receipt Number. (Rev. 09/04) August 10, 2005 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 S. Bragaw Street Anchorage, Alaska 99519-6650 Attention: Ms. Julie Makela, P.E. Subject: MOA Onsite Sewer Comments Lot 3, Hulse Subdivision Dear Ms. Makela: Please reference our submittal dated July 22, 2005 and your comments dated July 28, 2005. Attached for your review are: 1. Revised design drawings with stamp and original signature of engineer showing the following changes: a. Test hole locations (within 30 feet of any portion of trench), b. Total depth of proposed trench below original grade, c. Locations of well and sewer systems within 200 feet of proposed system, d. Relocation of septic tank outside 100 feet well radius, e. Sections of trench located on slope greater than 25 percent, f. Reserve area for replacement trench and additional test pit 2. Revised test hole logs showing depth of percolation test and date of groundwater measurements (7 -day monitoring), 3. Revised trench size calculations which delete the reduction factor (a reduction factor was not used in to size the trench in the original submittal). The house is currently a 3 bedroom house, however, the owner may construct an additional bedroom. The proposed system has been design sufficiently for a three or a four bedroom house. As discussed with you, the owner will be required to complete the additional test pit and percolation test to obtain approval with the Municipality if a 4ih bedroom is constructed. I agree that it would be to the owners benefit to complete the additional test pit during the construction of the proposed system if he is considering to add a 4'" bedroom. We will notify the owner by copy of this letter. I appreciate your patience and assistance that you have provided. Please call me at 694-2332 if you have any questions or need additional information. Sincerely, Rodney P. 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DyXDO DO Z n �'r• 'yam! �mv ZrriODc0i -'0 rnrn rn� c�Dmmz 0 m o C) co om z m� 0-400 ri r- _`� o �n-4 Xrna z v O)W:UmD=1,.� nn W W N K Z O O 2 I I =Z0?A 'p +, W (o� rM.i 0 m NNrO'vZn a 2 r D m > 0rr-mmLn 0 w En ;o m 3' MIN. XZ z�omo v pnD F \. DN �o2•_A•iD Imm m2 �xZON o i rr-•�X -*� zv0>X a W a c�r^z-iv > ! n cco ox y2D fm *l Zm�a A �CO-Ni -4 1 C AD X rn a ZZ A N ;D -� (n moz �m� o I0IC 10 10,� 10 00 10 tCY)o IO n 0 CO W ........................ b ..i.. ....... ................. o +o ...................... +.......:.. +.. O 0 O O ........ .................... :. ........:�.....I C � A O DZZ #.....m.r ... c�� o O .�....� O a ....... .......... ......... ...... :. .... ... p O >Z2 O mo> :� :� :v.......v;, :v .............. _ ..... Z .... .... :_I V z v D z z rn r - +O W m : W O O r bn Ln a CA imm cnEno �' ;' mmm/�m rn o . v� . / io� mmm a z r n m �S / : �� r W NDm =f U: f r .0. r / .^+.�. .. .. .. .. ..N... ...................... N .n. .. .. .. co. 1 �... .. .... ..... �. CY)..... ........ .................I ............................. I ......... ..... I� I0 I0 10 Ila O I0 IO loo A rn m i I m \ r O \ Iz m t5 -� Z d � 1 I\ I �n Z �D nZ Z 1 �\I G Vt1 C) C7 r I r 1 O O ~ 1 � /I O 0 -u N _M Z D a O / / N � N 1 Z9 p � va) orl t nz z I r U1� 1 1 y p D M -- --- — -- - --- -- v 1 I tn 1 1 i(l / y—NmNO I c,, �G 1 1 NQ ,I I ; i I / \ r O \ Iz m t5 -� I v� � 1 I\ I �n Z �D 1 �\I G I 9 1 1 r I r 1 O O ~ 1 � /I 0 -u 1 I Fx 1 1 Iz -� n , 1 , 1 � 1 I\ I ^ivvg1Q /I 0 -u O / / N � N 1 Z9 p va) orl t nz z I r U1� 1 y < I D M Dennis Johnson Lot 3, Hulse Subd. Deep Trench Calculations 1 trench 8/9/2005 No. of Bedrooms: 4 beds Pero Rate: 36 min./inch Depth of Gravel Below Pipe: 48 ft. Application Rate: 0.45 g.p.d./s.f. From Table 1 Area per Bedroom: 150 s.f./bed Trench Width 3 ft. Effective Gravel Depth 8 IL Absorption Area Number of Bedrooms x 150 Application Rate (GPD/Sq.FL from Table 1) 4 Bedrooms x 150 0.45 g.p.d./s.f. Abso tion Area = 1331------- --j Trench Length 1E OF Absorption Area ^!1Q:•' ' •. 1 2 x Gravel Depth TH = 1333.33 Sq. Ft. %•��• •�•�•��•��• 16 FL ............... 0'• Re ney P. Kinney. Jr. �•w Trench Len th = 83.33 Ft. ,I�✓/�-, CE 797,5 •_�`��.�. OF Al �1 aw 1 •sf-�1 Municipality of Anchorage 1�*Z NTIH �Development Services Department Building Safety Division On -Site Water and Wastewater Program .. .............. 4700 South Bragew SL P.O. Box 196650 Anchorage, AK 99519-6650Rd ney P. Kinney, Jr.: www.muni.org/onsde if • CE 95/�� / . �•�� (907) 343-7904 +,j��t•� •B/ _'1 •' t'�` Soils Log - Percolation Test I-//%%�it�o��� Performed For. _Il Qnrn 1 S 7TOen Sar• Date Performed: G /29 �oS i %►3 1 of ?— Legal Description: H u 1 S !. 5t,6L. L 2i, Township, Range, Section: 'T)y 4, I R 1 W I Sec . Slope Site Plan TP— 1 3 Dept 25 (Feet) 1 - OP Ibb -X TAA 2-"— SAPJDY SILT' a ov Nr9N 024AAJoCS COMMENTS r-'1 HOm P— WAS GROUND WATER ENCOUNTERED? NO a IF YES, AT WHAT DEPTH? OA L Depth to Water After • / . P Monitoring? K1VA - a D•(•: OLA/ -!r >i '7),s/es # I Reading �. Gross nme 5- Depth to Water Net Drop 6-) 7- - I 1113 lal 3:45 M 8- 0•' 9-� ,,/ SILT t SAND 10- Ort ArJD Cn2AVft- 11- 1-12-13-14-15- 7 fT o5 '4:HS - 12- 0rr 13- 15 05 14- 15- 16- 16- 17- 17-18-19- 18- 19- $ oTTDA r 0 F 2G- Tc-,�T PIT AT Iqr COMMENTS r-'1 HOm P— WAS GROUND WATER ENCOUNTERED? NO a IF YES, AT WHAT DEPTH? OA L Depth to Water After • / . P Monitoring? K1VA - a D•(•: OLA/ -!r >i '7),s/es # I Reading Date Gross nme Net Time Depth to Water Net Drop I 1113 lal 3:45 M 0 M).• 0•' 2 7 13 nS `Ir•IS 7►+. Ort 3�y� i 7 fT o5 '4:HS - 0rr 15 05 PERCOLATION RATE • t U (n..n..r.rr,l PERO HOLE DIAMETER TEST RUN BETWEEN 9 FT AND 9 FT iK- PEk•lop 7 "LA00wA•re/- -1117 Io<' / V 1 - PERFORMED BY: q pYGNQ4r LGy f- n * v e . l Iiao 1. y �1 of 1•I [ N CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFF .,T ON THIS DATE. DATE: / I O TP- 23" Depth 12- ,Y Z. -13- 14- 15- 16- 17- CA 1z IE Y 13 -14 -15 -16 - 0ZZ-W1 cS TA SaJODY Sit -T wmi4 &ALAMICs GREY 51t.TY 51•MD ANp 60-AJet- 00TTOA+ of Tsm ?IT hT 1`1 r WAS GROUND WATER ENCOUNTERED? N 11 a IF YES. AT WHAT DEPTH? NA L Depth to Wwwr After F Mantt.ring? N O ty a Daft: 1'S 0< OF j,— Rodney P. K(nnq, Jr.: W TJ Site oI TFi f J S Reading Municipality of Anchorage Gross Time Development Services Department Depth to Water Building Safety Division y2 On -Site Water and Wastewater Program 4700 South Bragaw St. -1 1s 1 b� z'.►S P. P.O. Box 196650 Anchorage, AK 99519.6650 D •' www.muni.org/onsite (907) 343-7904 Soils Log - Percolation Test Performed For. Der) h j S J o i't 5 0 ✓1 Date Perk Legal Description: 14LA ISA [- t, 1*J . �.. �J Township, Range, Section: TP- 23" Depth 12- ,Y Z. -13- 14- 15- 16- 17- CA 1z IE Y 13 -14 -15 -16 - 0ZZ-W1 cS TA SaJODY Sit -T wmi4 &ALAMICs GREY 51t.TY 51•MD ANp 60-AJet- 00TTOA+ of Tsm ?IT hT 1`1 r WAS GROUND WATER ENCOUNTERED? N 11 a IF YES. AT WHAT DEPTH? NA L Depth to Wwwr After F Mantt.ring? N O ty a Daft: 1'S 0< OF j,— Rodney P. K(nnq, Jr.: W TJ Site oI TFi f J S Reading Date Gross Time Net Time Depth to Water Net Drop 1 -1 1s 1 b� z'.►S P. 0 �,. D •' 3 11 13 laor 15' IS r. 'S -L) -- p., tS�lIt. 7 '1 IS e!r 7,4S Vo. 10 5 -1 1-$ 1 .s Li 15- r .,. -g(7-nn p• r /t`.. PERCOLATION RATE 3Z (rano... ) PERC HOLE DIAMETER ��11 TEST RUN BETWEEN 9 FT AND /o FT 1 COMMENTS -1 ko-,R- 51er ImMoD Q 1 r4,LO AJPW: 's r2 -7 �t7%.i lolr 1 1 1 - PERFORMEDBY: Bt'G14Joty, V-.ey.Ls,ee .I god 1L+.hc... CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: -1 1 h,< July 22, 2005 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 S. Bragaw Street Anchorage, Alaska 99519-6650 Subject: Request for Review and Approval for Onsite Wastewater Lot 3, Hulse Subdivision To Whom It May Concern: We respectfully request your review and approval to construct the subject septic system. Attached are: 1. A site plan with stamp and original signature of engineer. 2. Design and calculations with stamp and original signature of engineer. 3. Results of soils, percolation and water table test with stamp and original signature of engineer. 4. $460.00 Check for Review Fee A replacement of an existing onsite sewer system is proposed for a 3 -bedroom house. There is an existing onsite well located west of the house and an existing sewer system located on the east side of the house. The existing septic tank and related cleanouts are within 100 feet of the existing well. Please note that the original sewer system was permitted, approved and installed in 1971 (GAAB Permit No. 1597). The system was also approved by the Municipality of Anchorage, Department of Health and Environmental Protection in 1986 with this separation distance. Attached are copies of these record documents. The ground surface slopes and drains across the lot from north to south, varying approximately 19 to 31 percent. This drainage condition is to be maintained after construction is completed. The proposed system has been designed based on the MOA handout for Deep Trench Requirements and Specifications AMC 15.65, reference attached. No groundwater or bedrock was detected at the time of excavation on July 29, 2005 or on June 13, 2005. Soil stratums were consistent above and below the proposed trench and no indications of high (or perched) groundwater was observed. We do not anticipate any impacts to adjacent properties. Please call me at 694-2332 if you have any questions or need additional information Sincerely, gw� / 4/\ Rodney P. feinney, Jr., P.E. Fri c"0 N 29o0o z Aow `o ate= m z aN to >0 to v' v 2 'w x i9 .9 Z :"19t � r j} w d = 5d c°DD — — — — • U ion li =0;4rn • / I -u rri yu) Z , =m / Cf)o / TWX xmi fAx=l -Ir- TY � i rrGZ7 N .� m -uT av a- o� -a Z D M O O rr�* m O D -I 2 o -v O N to c Ymrri -+ O m m C ' ^ rri V \ i 7vZ cin Vj\ r•W GS <m O> >Z og9m D co o rvtn c= _ MK �D��o ZmZ m0 >c m NmDm zoo Ox yX o� im �m� cmo M ;u En- -o v- uLn N`'I nen -4 OCm -, Z Z r �Z XZ nX =Z D=D pmr- S D� 0 WO mD •ZT. Z n;`n Z ?n D '� Zm m� Wm -gym *,II ovm VI N m m O m o m K , m < x Nn Z It Z O Z (Nle O N WN_1 -4 D m � P � x D U m r m '4 $A -n O Ln O CJn O (L (-nn O (n Cf) Z�-. rriZ -1 D Z En W Ln -n 2 % mD (n <z m�O W r CC :..... �; ' �Irr, N� .........: ....O Fq0 0 .... - ZZv�O� 90 BEND WITH C.O. > X: D SEE DETAIL 3. SHT.1.• t� -46 ; : O o : / .� •. • 42 00 GRADE BREAK . o ........ilk �E;���:� �_ INV. 'EL: 90.7......:. .. ...... �n> �Z :. ................... �Zv,� _. N :.........D Z. . INSTALL 60' BEND WITH C.O. -o -n Z m = GRADE BREAK (n 0 F n m gym- o +INV.. EL.= .68.2.. , ...:. . O ..... .N W co v>Om.... 0 v.......O.N.5:.. ��. C ....... . o r O •.i c o x -o I-- -o o rn. 'Ov ca, ;u DZ----4 jj O "4 0: m'D:� mvczi W fn Z W: <'N 2 O 0- ............................:.....N..._........:...v.,A.......P.................. p 0 0 'D N :O o N n: W W INSTALL 45• BEND WITH: C.O. +' E! Co ......GRADE. BREAK.........: . ....................................... mm j _ m INV. EL. 56.5' v J 0 z �Y Z Z 0 c�. .....:. ............... INSTALL- 60•• BEND -WITH C:O..................................... GRADE BREAK C) M b X Z INV. EL.= 68:2' oN r•i 2 Ln rn rn -j v oo 0o cD ED cn O Ln o cn o to O to -IZmmo 20 DW X D O D O Z v 0 0 Z Z Z xm>a:w vv) cnv.P mc vc Op m'D mz000 'i0 m Zc=�Y, -� 0�0 0-400Z m -{ Z m ;u 0 'D rim;u ;u .YNR ZO5j��y0 z n ? m0-4 AOv 0D0-ID7Zm;u m ^^ r r O0 nD z = r' r, Co rKZOc+cnmv?� v Um IISZ m NVD-40 ..a (n m m O W N m 0� Z 0 D m z m o N r m n m ? ' N r m Z r n m A O r Z NO K = O� mo 3' MIN. �Z oo=cmiv v Z m �m M>X m2-�C�ZZA O mA ��m •pv 2 D r A vmZ-4v N CO wom moz MZmXrll0 0 Z 0 CML< DZD r"v ; MOO ;vi � DZZ .im_7�A O N t0*mv0 >mrD- 1 1 AV �. .,•,s''t ii Municipality of Anchorage *..� Nil w L) •.• *I Development Services Department �• Building Safety Division X. • .., On Site Water and Wastewater Program / ,6^.. 4700 South Bragaw St. J0, : ...'• '••.. ft P.O. Box 196650 Anchorage, AK 99519-6650 � ��• Ro ney P. Kinney. Jr. . www.munl.orgionsite �,.pJ� •, CE 91.755�1:��� (907) 343-7904 Ley'+ Soils Log - Percolation Test J Performed For: _Ny ); S O k^ 90r Date Performed: L hq 1 o s7�j Legal Description: H L. I -,,e SL, 6A. L ?:, Township, Range, Section: 7 14 ?J , 12 1 W , 5 e c- . a3 TP- 1 S Gross Time Depth Depth to Water Net Drop (Feet) 0 1 ORGAAjItS ;:45 Ilim ! -tA,0 2- •�, C AfJDY'311,T- _ 30 LjIjw OrtGA4J1CS 6.itVe AND 4aAVEt. 16- / / 17- .: r 18- 19- �� a aTTOM OF 20_ TC-�)T PIT AT 19 P- J. S WAS GROUNDWATER ENCOUNTERED? NO 8 IF YES, AT WHAT DEPTH? IJA L Mph to Water An.r P Monitoring? PAA— E Dat.: S •'f V 7�r3�.S rlan Reading Date Gross Time Net Time Depth to Water Net Drop 1 ,113 e5 ;:45 Ilim 0 M;. 0 i 13 oS `1:15 ., 30 i 7 117195 4:45 30 ti,, 0'. S/yn `I '1 IT .5 5.15 ., 3o rgrw 0" 5%4� rENwunvN NATE —1 W (m.wanrncnl PERC HOLE DIAMETER (e_. I , TEST RUN BETWEEN �T—FT AND FT COMMENTS_ NON2 $'JAK. �p�Q.to,) nye ,"(A 00(7A 7'I?�p� e.- (, 1�-S of PERFORMED BY: DYGrd4r [-GyGIn Iyl .I IGD I.I n„C CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFF N T ON THIS DATE. DATE: Z I O Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orgronsile (907) 343-7904 Soils Log - Percolation Te: Performed For, J 'NY) pl; 5 O%1 vi 5 o -M Legal Description: PLA 15A SG tic% . I_3 Township, TP- 2S Date Depth Net Time Depth to Water (Feet) FT AND FT COMMENTS q Ho41L- 70Ar /c/NOD hie 1_ ti... O�AAII LS 2- TAIL) .. SAA)DY StL.T WI -14 OALAA 141 19 - GREY 511.TY Shit) ANP 64P: VEI- S*TrOA+ D4' 'TES'! PIT ArT 1°I' WAS GROUND WATER ENCOUNTERED? N U IF YES, AT WHAT DEPTH? _NA Depth to Water Agar IAordtcriny? N c KA - Date: / I'S1O i Reading Date Gross Time Net Time Depth to Water Net Drop FT AND FT COMMENTS q Ho41L- 70Ar /c/NOD hie Gto4MDWA2FR 11 I /r7/rS w (e1 1 of I -11 11 a ) -1 * s .» D ti+.. .. 3 -1113 1 a -f 'S' Is .. i0..: 0.. 1S/16r. '1 '7 I S o )� 3: 4 5 w -SO �.: D.. r5/1 1. r. 5 1 13 r1 `I :IS a., �r%Iti.N 0� 15 A .. PERCOLATION RATE 3L PERC HOLE DIAMETER b,• TEST RUN BETWEEN FT AND FT COMMENTS q Ho41L- 70Ar /c/NOD hie Gto4MDWA2FR 11 I /r7/rS w (e1 1 of PERFORMED BY: prGv%J a" I -r ✓ r.L # e e . I PL -DA YA" C " CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFF T ON THIS DATE. DATE: e i Dennis Johnson Lot 3, Hulse Subd. Deep Trench Calculations 1 trench No. of Bedrooms: 4 beds Perc Rate: 36 min./inch Depth of Gravel Below Pipe: 48 ft. Length Reduction Factor. 0.5 Application Rate: 0.45 g.p.d./s.f. Area per Bedroom: 150 s.f./bed Trench Width 3 fL Effective Gravel Depth 8 IL Absorption Area 7/21/2005 From Table 1 Number of Bedrooms x 150 Application Rate (GPD/Sq.FL from Table 1) 4 Bedrooms x 150 0.45 g.p.d./s.f. Absorption Area = 1333.33 Sq. Ft Trench Length Absorption Area 2 x Gravel Depth 1333.33 Sq. Ft. 16 Ft Trench Length = 83.33 FL IV. MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description include lot, block, su division, section, township, range) Lc�+ 'T"ra �� 14v1sa SJb �tw ��4 R'w 5 Location (address or directions) Ho A94 2264Business 694 cA75 (b) Applicants Name _bQn6%& TO1mSOn Telephone - Applicants Address .. I P tp r Aq q ;7 (c) Applicant is (check one) Lending Institution ; Owner/builder ; Buyer ; Other F__1 (explain); a cjY,�ha. u; C Telephone (d) Lending Institution - i �'�,1z�,•�ra� ink Address (e) Real Estate Co. & Agent N Address Telephone (f) Mail the HAA to the following address: 140 U. 2. Type of Residence Single -Family Multi -Family Other (describe) Number of Bedrooms 3 3. Water Supply Individual Well Ct Community Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite Public Community Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 21 5. En ineerin Firm Providin Inspections Tests 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 Municipality of Anchorage files and from my investigation and inspection, the on --site water supply and/or wastewater 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 ;<%fuC��r� �G'i'� Telephone >4G-ZrrY_3 Address Date 15" -" Lt's aCT �STAC+bClSARt.FNmn. Rb MG f40.173Y•@ Juno 22, 1968 6. DHEP Approval Approved for 7,6_o3 bedrooms d�yFA )w7 Approved _-.?S4_' Disapproved Terms of Conditional Approval CAUTION A$ A' Date v��•21/aka ' _ Conditional t THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL 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. EMPLOYEES OF DHEP DO NOT CONDUCT 6INSP4jjIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANOHAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 21 7-19-84 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH 8, ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) (v,AY 1 HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 A. WE�'DA�, i-V_E Legal Description: LofSTraai�A �yIS�Svb DAT Nw/4523Ti+(N ei\J S M' Well Classification tpriva`e If A, B. or C. D.E.C. Approved(Y/N) Well Log Present (Y/N) y Date Completed Z5 Ayq 1971 Yield 3•$ Total Depth 1 SZ Cased to ZOO Depth of Grouting VZAK Static Water Level 4�1 t At — -- - Casing Height Above Ground 4 S'' Sanitary Seal on Casing (Y/N)` Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N)N Separation Distances from Well: To Septic/Holding Tank on Lot -7S�- ; On Adjoining Lots lco F To Nearest Edge of Absorption Field on Lot ►col+ On Adjoining Lots 106'4 - To Nearest Public Sewer Line)A To Nearest Public Sewer Cleanout/Manhole fy p� To Nearest Sewer Service Lina on Lot Water Sample Collected By C a (ams ; Date Water Sample Test Results Z>+�Z AgA Comments wejojrj ll(j 4�+o l e4"c:- 00 zd -se-e z4zC1^¢8 WeA 109. B. SEPTIC/HOLDING TANK DATA Date Installed AL)g 1971 Size 1000 q No. of Compartments Standpipes (YIN) �� _- Air -tight Caps (Y/N) y Foundation Cleanout Depression over Tank (Y/N) F-1 Date Last Pumped Pumping/Maintenancp Contract on File (Y/N),tJq ; for Holding Tank High -Water Alarm (Y/N) N A Temporary Holding Tank Permit (Y/N)4M Separation Distances from Septic/Holding Tank: To Water -Supply Well '77 1 _ To Building Foundation To Property Line ' To Disposal Field 1001+ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course - Com vents 5tis4e», i ^SAPIled ,Aub 1971 undLr,. G-689 v ih 1537 Receipt # Ll Date Paid: Amount: [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 190 SC Type of System Design Crib Date Installed A -ug 1.9-71 Length of Field Z Width of Field 1!0 Depth of Field Gravel Bed Thickness Square Feet of Absorption Area 4114 5 Standpipes Present (Y/N) Y Depression over Field (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test 6±e4U24e � 3 ra�r,, hv�se Separation Distance from Absorption Field: To Water -Supply Well j0,=)'4- To Property Line zo To Building Foundation 8S' To Existing or Abandoned System on Lot N A ; On Adjoining Lots IC01+ To Water Main/Service Line k&+ To Cutbank(if present) N A To Stream/Pond/Lake/or Major Drainage Course N PI To Driveway, Parking Area, or Vehicle Storage Area 150' Comments SL12!e = insA all eot %uca 1911 Lj� e,. CrPrR3 pPnw �1- 1591. s s�1S-iem D. LIFT STATION Date Installed N Dimensions Size in Gallons Manhole/Access(Y "Pump On" Level at "Pump Off" Level t High Water Alarm Level at Vent Y/N) Tested for Pumping Cycles Burin Adequacy Zest. Meets MDA Electrical Codes(YM) Comments ** Check Permitted Bedroan Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA"HAAS% in effect on the date of this inspection. PotP•(..w++cps+" Signed — CG &=4e 0��_`,,�. Date 6 �* Company, s -kwc��+ ��y� tnc r MOA No. �sl 8� "Z3 •• •• • KB1/d5/5 %��.' NO. V32 -E Jww 22,1968 CONAL [Page 2 of 21 2-15-84 l /v GAAB,HD.I G ER ANCHORAGE AREA BORON - D r TM ENT OF ENVIRONMENTAL QUALII 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279.8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM c LOCATION tri✓ SEPTIC TANK: LEGAL MAILING������ -PHONE- ADDRESS /I G nr,zr DIDTlnt,l 4O/ e fe' �� NUMBER OF I DISTANCE FROM W LZ0"lr:l/:lA4'?l MATERIAL ` COMPARTMENTS - DISTANCE fCf/ `y /_i7� UZ 4 %414S LIQUID LIQUID CAPACITY ®40 GALLONS. INSIDE LENGTH INSIDE WIDTH-DEPTH- LEGAL IDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT NUMBER OF PI LINING MATERI G. Q o s NEAREST LOT LINE � TILE DRAIN FIELD: DISTANCE FROM W LINES ABSORPTION A OUTSIDE DIAMETER OR WIDTH LENGTH / DEPTH -: ,, DISTANCE FRL /��rYY1 OM rh IyHN-t"l '" ,BUILDING FOUNDATION / / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FL BETWEEN LINES SQ. FT. LENGTH OF EACH LINE NEAREST LOT LIN TRENCH WIDTH TOTAL LENGTH OF LINES IN. TOTAL DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ACUVC IILC {r �// DISTANCE FROM WATER WELL: TYPE ")� -P L'YIII DEPTH ,BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE/ SEEPAGE/YP�OTHER �Qy LOT LINE SEWER LINE , TANK �T , SYSTEM y;yp SSPOOL , SOURCES_ DIAGRAM OF SYSTEM DISTANCES: GRE, i"tR ANCHORAGE AREA B0F a GH ����yJ�� DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279.8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT / e -17N �.� --� NAME OF APPLICANT ddrMAILING ADDRESS V /K: Aa. � "" �•""_E INSTALLATION LOCATION, LEGAL DESCRIPTION 4 0 4 X ' SL4-44e 01 INSTALLATION OF: SEPTIC TANK SEEPAGE PIT (! DRAIN FIELD , OTHER TYPE AND SIZE OF FACILITY TO BE SERVED ,ate bd FINANCED THROUGH OI BE STALLED BY SOIL TEST RESULTS 14�" /Y ,��' ✓ - NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 0r� �,v 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 TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD . SEPTIC TANK, SEEPAGE PIT TO RIVER, LAKE, STREAM. SEEPAGE AREA SIZE , DRAIN FIELD DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT . DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 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. r r A HORITY •- •ILNSED DESIGNER TYPE DIAGRAM OF SYSTEM 1 CERTIFY THAT 1 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. DATE APPLICANT'S SIGNATURE CREATER ANCHORA'- AREA Bc)-f'�f HEALTH Dh;PARTMENT CASE d 32" EAGLE c;TRFET ANCHORAGZFs ALASKA 995o1 Performed For Dennis Johnson Dat e Performed Leg,U. Descriptlon� �Lot 7— �— 7LI9171 "UOCK SUb(1.11.!'-; slon"Tract A" - I�Ul -S----d---- This Form Reports- a�. S-12— n,j-js F�erc,,:)5�tjon Tes-z: Depth Feet soll Char'l-ter" J-9tics Loose gray sandy, silty gravel with scattered 2 cobbles (GM) 3 with occasional sand seams 4 5 6 7 8 9 Location Sketch Was Ground Water Encountered? no I'F Yes, At What Depth.—. -- Proposed lnstal:fcl�tlon; Seepage Frit X Drain Meld DeptYi Of Tr et !'1ep7rA TO BottomOfPit Or Test Data Certified By:National Testing Services, Inc. Date: Well pumping test at ft =gallons per ([) (minute) for hours with__�+'F of drawdown from static level "g r t mid fmg1grev* M -W DRILLING, Inc. P 0. Box 4-1728 ; • 2811 Dawson ' A C 907-279-1741 ALASKA 99509,_.,1: ..ANCHORAGE, Well pumping test at ft =gallons per ([) (minute) for hours with__�+'F of drawdown from static level "g r t mid fmg1grev*