HomeMy WebLinkAboutNORTON PARK LT 32A Municipality of Anchorage Paoe 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: ~.-<~;:~ O-'2'~ ,1~~> ' ,__ PIDNumber:
N.m~:~ ~ ~) ~lg:~2AM Wastewater System: D New ~Upgrade
Address:~. 0.~~ ~L O~ ~ ~ ABSORPTION FIELD
Phono: o~ rooms: oop Tronch D Shallow Ironch ~ Bod ~ Mqund ~ Othor
lotal Dopth from odcnal
LEGAL DESCRIPTION S°ilRating: i, Z GPD/Sq. Ft.
Lot: Block: Subdivi~n: Depth to pipe bottom from origical grade: G ravel depth beneath pipe
Township: ~k ~ Range: Section: Fill added above original g~Oe: Gravel length:
Number of li~es: Distance between lines:
WELL: D New . D Upgrade era~e~ ~: ~ ~ Ft. ~ ~ Ft.
Cl8ssillcation (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Ft. Ft. 5~ SQ. Ft, Fa lO
Driller: Date Drilled: Stati~Water Level: Installer: Date installed:
....[ Casing Height Above GrOund:
v~: ] ~ump S~ ~: TAN K
~,~ ~,. ~. _ ..
SEPARATION DISTANCES ~,pt~o u .o~di,g U S.~.E,.
TO Septic Absorption Lift Holding ~ublic/Private Manufaclurer: Capacity in gallons:
From Tank Field Slation Tan~ S .... Lines ~C~ T~< ~
Material: I ~ Number of Compartments:
Sur~oe LIFT STATION
w~t~, NJ~ k,.~ ,_,
Lot Size in gallons: Manufacturer:
Line ~ ~ [ O
Foundation
O
Curtal. ~, j ~ ~ [ ¢ Pump Make& Model Electrical Inspections performed by:
Drain
Remarks: BENCH MARK
O[~ ¢~ O~~ Location and Description: ~ ~ ¢~ ~
A~sumo~ fflovatiom
E N G~E~.~ EAL
Inspections performed by: Dates: 1st' ~',, ~ ~~
2nd
Department of HeaJth an~ Human Services approval , ~,. ,~¢ ,, ,; ,.:~
Reviewed and approved by: , Date:/~- 7- ~ ~L~...,.,.' . ,~-"'(~:: ?"." ,~..,;~..
72-013 (1/91) MOA 25
~EPLACEMEIVT ?BENCH
E CLEANI2UTS
TOBBEN SPURKLAND P,E,
203 ~ ISTH, AVENUE
ANCH, AK, 99501
LOT $8A NDNTDN
SEC 19, T12AI
B£B SH£MEK, 630 ~/ gLATT
SEPTIC SYSTEM AS ]]UILT
DATE, DCT, S~ 1993
SHEET, ~/J GRID, ~°730
LOT LINE
S tondord Trench;
2' ~//de
50' L on9
8' Deep 1~50 go~ Septic to
5' 3e~em rock under pipe
3' Cover
N/raP/ i40
5 Pt oP Septic Rock
UNDER PIPE
NO SCALE
~ENCHMARK~ GARAGE
100.00 FT,'
]EN SPURKLAND P.E,
203 ~lSth Ave
Anchorcge Ak 99501
LOT 3£A ND£? TN PA£K
]?0~? SRAMEK
SEC, i9 Tl£fl
iPTiC SYSTEM AS BUILT
DATE, OCT, ~ 1993
SHEET, 3/3 GRID, 2730
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 WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW930303
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:SNETHEN WILLIAM H &
OWNER ADDRESS:P.O. BOX 110268
ANCHORAGE, AK 99511
PARCEL ID:01615142
DATE ISSUED: 8/16/93
EXPIRATION DATE: 8/16/94
LEGAL DESCRIPTION: NORTON PARK LT 32A
LOT SIZE: 19600 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION 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 (iSAACS0).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS
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
RECEIVED BY:
DATE:
DATE:
203 W iSth. Avenue~ Suite 206
ANCHORAGE~ ALASKA 99501
(907) 279-39i6
SEPTIC SYSTE~~. DESIGN
BOB SRAMEK
Nc~. Ground Water or impervious [.ayer 'ho i7 ;:t=
Use Standard Trench
Soil Rahi~g. From test 7/13/93
<l rain/in = 2.2 galZm~n
IN SiTU SAND QUALIFY AS FILTER SAND
SEE AT]'A~NED SIEVE ANALYSIS
R~quir~d Area per Bedroom:
i50/i.2 = t25 sq.¥~ ....
Total Depth
17
il
8
Number o-~: Bedrooms
Le~g-'kh o.F 'Treat:ch 125 X 4 / :i0 = 50 F:T
STANDARD TRENCH
TOTAL LENGTH
TOTAL WIDTH
TOTAL DEPTH
ROCK DEPTH
COVER
SEPTIC TANK
50 Fl'. F~
2 Fl'.
~ FT. /".
5 FT. /
~ FT. ',/"/'
PUNP AND CRUSH E×ISTINB TANK
P~fiP~ CR~SH~ ~ND BaCKFiLL
EXiSTiN~
drainacl{,l, cour-ses o~l this or EhE) adjacent lots.
]he pr(~pos~d septic system ~,~iii not chancre hhe general
Fhe ~r-iginal permit -for this residence was Yer a one
A replacement site -For thi~ pr{opc{sed .... ~'- -
L[?f
LI]T 3££
LOT 3P_.BI
I
I
I
L
%
$
ELECT
L[?T 3£]
J
N
.,.~.~ o~~
50 0 50 ]00 150 BOO 250 300'
SCALE: l' = 100 FT,
P_03 ~/ ]STH, AVENUE III LIlT 38,4 NOI~T£N PARK
ANCH, AK, 99501 II YEt 1~, f]Sfl R3V
~maz) 27q=2o~,~ .... BD~ .SH_£MEK, 6~0 V KLATT
SEPTIC SYSTEM DESIGN
DATE, AU6, 1], ]993
SHEET, ]/3 GRID, 2730
£D5 CpI~
~£-PLACEMENT T£ENCH
P£IMA£Y TfCEN, CH+
PUM£ AND BACKFILL +~++
203 W iSTH, AVENUE ii
r~}_.zT,~-'~9~ ~%% ~,,~ .... .
'L'DT 3£A NDI~TI]N P~PK
SEC 19, ?IpN
2ZTB SH£MEK. 670 iV' A'LATT
12S0 6AL SEPTIC TANK
A~A~NE P£IVE~/A Y
~50 ESTINITS
PEMDVE '~
DATE, AUO. iL 1993
SHEET, ~/.~ GRID, 2730
LOT LINE
50
Cleon
Jeon Out
Stondond [rench;
£' Wide
5~' L on9
8' ~eep
$' £ewer rock under pipe
3' Covem
Dodole Cleon Buts;
f / 4' Topsoil
M/~o P/ ~40
5 Pt oP Septic Rock f
UN~EB P~PE
ND SCALE
Monltor
//~-~4 Ex/st, Ground
' ~'n Cover
~ ~'Gver ?onk
1250 9ol, sept/c qzonk
TD~BEN SPURKLAND P,E,
203 W15th Ave
Anchopc§e Ak 99501
Ll2T 3£A PAP/(
303 S£AMEK
SEC, i9 [12N R3W
SEPTIC SYSTEN DESIGN
DATE, AU~,, 11, 1993
SNEET, 3/3 GRID 2?30
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 %" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
(ENGINEERIS SEAL)
1
8
@
10
12
13
14
15
15
19
2O
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
Depth Io Water
DATE PERFORMED:
Township, Range, Section:
COMMENTS "~
SLOPE SITE PLAN
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE ~ I (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND I '~ FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /~'~ II~ [~.~
72-008 (Rev. 4/85)
o
% OF RETAINING
GAAB-UD I
GRY~TER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
ADDRESS ~.~(f' ,
SEPTIC TANK:
DISTANCE FROM WELl.
__MATERIAL (?~ ~'D; dl/Z'~ Z~'~7"-~-~ NUMBER OF
COMPARTMENTS
GALLONS. INSIDE LENGIH INSIDE WIDTH
PHONE
LIQUID
DEPTH
SEEPAGE SYSTEM:
NUMBER OF PitS_ /
LINING MAIERIAL ~. ~
NEAREST LOT LINE .~/~
SEEPAGE PIT:
OUTSIDE! D}AMETER
OR W,DTH /.C_- / __ r /
, LENGIH // ~ . DEPTH (~'
DISTANCE FROM WELL rd'/ /
, BUILDING FOUNDATIO~ ~-,
~O~A~ ~C~V~ A~SO~PnO~ ~A ~WA~ A~A~_ ~ ~-' 6 S~. ~.
TILE DRAIN FIELD:
ABSORPTION AREA SQ. FT. LENGIH OF EACH LINE.
TOTAL LENGTH
OF LI~.~NES ~.
IN. IOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
DEPTH: TOP OF TILE TO FINISH GRADE
WELL: ~..?llJ~ ~-~)J('I'~L-~"'~ DISTANCE FROM WATER
TYPE
DEPTH ~ , BUILDING FOUNDATION L,-__SAMPLE ~ r ~ . NEAREST
NEARESt SEPTIC ~ ' SEEPAGE / ! OTHER
LOT LINE I,.-" , SEWER LINE -~- ., TANK ~' , SYSTEM ~r, / , CESSPOOL .r~ , SOURCES
DIAGRAM OF SYSTEM
DISTANCES:
DATE
APPROVED
GAAB-HD-2
GREATEE
327 Eagle St.
ANCHORAGE AREA'
HEALTH DEPARTMENT
Anchorage, Alaska 99501
9ROUGH
279.2511 ~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
- ':" ]) :'"" SS .z Z.~-S ,%:~}:'~/PHONE NO..
RESIDENCk AU U n k~ ~=,,:;~. '
LEGAL D ESC R I P']'l 0 N, ~]~9-~*
FINANCED THROUGH_ '~-L~/~~
,PE~6~A~ TEST R ESU LTS ~
, SEEPAGE PIT. ~/ ,DRAIN FIELD. ,OTHER
ANTICIPATED DATE OS COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS ~ , PERMIT TO INSTALL A
_. SEPT,C TAN,< s,zE ~:'5~, _TYPE_.,~-F SEEPAGE AREA_
DISTANCES:
,TYPE
DIAGRAM OF SYSTFM
above described system is in accordance with said code.
O~O
O~5
2,0
3~O
506
Depth
~ eet
Perforraed For ,fo~" "~tin aro p,~.-, .~
Lesal De:SCPiDI;iort' Lot' '.' ~lnr,~- ',-'~¢'~'~'~"~ 51~ r .... '
So11 ........
................................. Location Sketch
?: ;:'i" t "'"r,"
was ound
If Yes~ At What Depth
Reading
Date GPoss Time b~e: Tirr, e
PY'o.Bos e d nstallatlon: Seepage
Depth 0£ Inlet ' - [)Pain Field
' '=,:kO C c) [ :::lO l'!d
Test- Performed
Data CePtified ~y: Da~e