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Home My WebLink AboutRIPLEY LT 4 Municipality of Anchorage Page ~of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 e Anchorage, Alaska 99519-6650 e Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Repo, rt Permit Number: ~"~{,,C) ~'~.-'~.~'~-'~ PID Number: ~///~ ~ Name:~/~/ ~ "~/ ~ Wastewater aye?m: ~ ~ Upgrade Address: ~, ~ /¢~ ~ ABSORPTION FIELD Phone ~ NO of B~ms: ~eep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION so,,.~,i.¢: ~'~GPD/Sq. FL Total Depth from original g~/. Lot: Block: ~Subdivision: / Deplh to pipe bottom Item original 9rad~ Gravel depth beneatb pipe Township: Range: [~ection/~ _ ~ Fill added above original~grad~ / Ft. Gravellength:: /~ / Ft. WELL: B New B Upgrade Gravelwidth: ~/ Number of bnes: Dist~n%~nlines: C~assi~loa~n (~t~, A, B,C) ~~ Total Depth: Cas%d To: ' Total 'absorption area: Pipe material: ~/~ Driller:f [~" ~ 1~1~ Date Drilled: Static Water Levet: I staller: Yield: P~mp Set at: ] Casing Height Above Ground: TANK GPM Fl ~ Ft SEPARATION DISTANCES ~eptic ~ Holding= ~ S T.E.P. From Tank FieLd Slat,on Tank S ..... L ..... ~~4~ ~ ~[~ ~ .~ f Material: Number of Cements: Sudace Water I~ /~ ~ ~ ~ LIFT STATIO Lot Size in 9allons: Manufacturer: = ~ High water alarm at: ~ ~ ~ ~ "Pump on" leve[ at: " ff"levelat: Foundation ~ ~ ~ ~ Curtain ~ ¢~ ~~' ~ PumpMa~7~Electricallnspectionsperlormedby: Drain __~ ..... BENCH MARK Remarks: . : Localiofl and Description: ENGINEER'S SEAL 99577 Inspections performed ~ eR?er, A,..'__9577 Dates: lst~,~/~ ~ .............. Department of Healt~and Hu Services appro~al~" ,~".,,, ........ ,,~ 72 013 (Rev 9/91) MOA 25 Permit No.~c\^/~")nq ~;X,, ,~v~.,-,,-, Page 2_ of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 995'19-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: RIPLEY LOT 4 PID No.: 05111 208 HILLTOP DRIVE B C01 C02 144.0 126.0[ CO 148.5 131.6I CO 149.5[ 132.8I FOUNDATION AND WELL C03 119.0 129.0[ NOT IN AT TIME OF C04 191.0 159.0 INSPECTION. REQUESTING \ MT 191.7 160,0 AN EXTENSION ON THE PERMIT IN ORDER TO DRIL WE LL. SCALE f' = 40' C03 1250 GAL. SEPTIC TANK )DSL co TRENCH N.T.S. CO1 C02 i~ / to4. I'lq NEW ~ 1250 GAL .2' 94.2 88.2' NO WATER FOUND MT C04 /102.8' ENGINEER'S SEAL 72-013 A (2/91) MOA 25 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 AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920233 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SULLIVAN JIMMY OWNER ADDRESS:P.O. BOX 197 EAGLE RIVER,AK 99577 DATE ISSUED: 8/14/92 EXPIRATION DATE: 8/14/93 PARCEL ID:05111208 LEGAL DESCRIPTION: RIPLEY LT 4 LOT SIZE: 65870 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / 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: THIS SEPTIC SYSTEM MUST BE INSTALLED IN ACCORDANCE WITH THE APPROVED ENGINEER'S DESIGN DATED 8/10/92. RECEIVED BY: .~ ~ (.j ~ DATE: August 10, 1992 ROBERTSHAFER PE ROGERSHAFER. PE CIVIL ENGINEERS (907) 694-2979 FAX 694 !211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SiTE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVZCES 825 L Street Anchorage, AK 99519-6650 REFERENCE: Ripley Subdivision, Lot 4 We request you issue a permit to install a septic system to serve the proposed four bedroom house on the referenced property. Two test holes were performed on the property. The approximate location of the test holes are located on the attached site plan. The monitoring tubes within the holes have been checked and found to be dry. This property has enough area for future septic upgrades, which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. IIf you have any questions, or require additional information ifor your review, please contact us. I Sincerely, ..... ~ ........ ~f__.~:~f_~ ~r\~t~' ~"~-..~ /~ .¢_ Roger J. Sh~fer, P.E. RJS/LSU/lsu 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 I"-- 50' SCALE ~"'$EP TIC AREA PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, ALaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~ ~'~L~:~"~ ~--~. Dship, Range, Section: SLOPE SITE PLAN 1 2 3 4 5 6 7 9 10 WAS GROUND WATER i,J IF YES, AT WHAT O DEPTH? ~ p 12 E! Deplh to Waler 1 3 I Gross Net Depth to Net Reading Date I Time Time Water Drop ~/~,, ,, ,, I4- 15- 16 17 18 19 20 PERCOLATION RATE I ~¢ (m,nutes/~nch) PERC HOLE DIAMETER TEST RUN BETWEEN '~ FT AND ~ FT PERFORMED BY: S & $ E, NGINt'it~RIN6 I /-~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ~j~aT~I~I~}~U~DELIN~SrN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O 1 2 3 4 Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT - ~ O DEPTH? p Depth lo Water Monitoring_ SITE PLAN E Gross Net Depth to Net Reading Date Time Time Water Drop , ~ ~ ~ :A~ ,, ~'~'~ '/,z" PERCOLATION RATE '~¢) tm,nutes/,nch) PERC HOLE DIAMETER 'EST RUN BETWEEN ~'/'~ FTAND ACCORDANCE WITH ~.,~:i~TI~.~F~iA~J~.~t~iII¢~.~UIDEErN'E"S~ N r_r .... ON THI~ J~ E. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~,.-/'2~-~-~fl'~ ~ .~,..~' ~;'.~ .~&DDRESS ~ ~ ;~:: :::. LEGAL DESCRI~ION DATE. Started PE~IT NUMBER (gerlifieh rilling by DOC Co. dba SULLIVAN WATER WELLS P.O. BOX 570272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759 · / 3d DRAW DOWN FT. GALS, ~..~ / 5'00 KIND OF CASING 4 // .:.:From ~) Ft. to c~, Ft. ~----,"-'l':~"O(.i~ '.~"-'(~'/~'-)~ Fro,,, F_b. to ' .,, .~ :~ , , / C,~3d~ · .., %m~S ~.~o /70 ~. ~Y [>'"' ~'%~ ~' Ft. to ~,~ Ft, . ~z?.")~l ~ ',~' :'~ , From Ft. to .. to to.~ :., From. Ft. to From Ft. to . From__ Ft. to.__ From Ft. to From Ft. to r.~(~ .From' " ' Ft, to ' ' From__Ft. to " From ' Ft. to From Ft. to ' From Ft. to Ft, Ft. Ft Ft, Ft, Ft Ft, Ft Ft. Ft. Ft. __Ft. Ft. Ft. FI Ft, From__Fl, Ft. From__Fl. Ft. From ~_Ft. to Fl. From__Ft. to Ft. From__Ft. to Ft From Ft. to.. Ft From Ft. to From Ft. to From · Ft. to__ From___Ft. to__ From Ft. to Ft Ft. ~ 11 1996 nici~)aPW et Anchorage Oept Health & MISCL. INFORMATION: /~ ~ PAGE 1 OF 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:SW950003 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:SULLIVAN JIMMY OWNER ADDRESS:P.O.BOX t~7-O88J ~\~ EAGLE RIVER AK. 99577 DATE ISSUED: 1/17/95 EXPIRATION DATE: 1/17/96 PARCEL ID:05111208 LEGAL DESCRIPTION: RIPLEY LT 4 LOT SIZE: 65870 (SQ. FT. NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4o 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: DATE: [01~ /c~.~ ¢R~)BERT C. COWAN, RE. CIVIL ENGINEERS November 15, 1995 NOV i t~ ](395(907) 694-2979 FAX (907) 694-1211 IViu of Anchorage Dept. t~,.,.,,~¢~ & 14uman Services HEALTH AUf HORIIY APPROVALS SEWER&WATER MAIN ID(TENSIONS SEWER & WATER INSPECfION ENGINEERING SfUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE pLANS ROAO DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER OISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 1, Block 3, Troll Knoll Subdivision Request you issue a permit %0 upgrade the septic system serving the existing three bedroom house oR the referenced property. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. 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. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. This is also to notify you of a relocation of the proposed well on Lot 4, Ripley S/D (permit ¢ 950003). The owner, Jim Sullivan, is aware and agrees to this change. Please reissue a new permit for Lot 4, Ripley S/D. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. aCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA99577 SCALE ~ ' SITE PLAN / 4x / JUPGRADE X Z :~ ~o 0 0 0;::003( ~z · ~;~,. <1~ mI > ~; S--m~,.~ ~ ~ z_- o ~ ~>o < zo ~ z Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4?44 November 15, 1994 Mr. J itruny Sullivan P.O. Box 197 Eagle River, AK 99577 Subject: Lt. 4, Ripley Subdivision Permit #SW930335, Parcel 1D #051-112-08 Dear Mr. Sullivan: The subject permit, issued August 31, 1993 by this office for a single family well and/or on-site wastewater system, has expired as of August 31, 1994. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. ff you have chilled the well, a well log must be sent to this office for docmnentation of the installation and to close the permit. If the on-site wastewater system has been completed and a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, J~(/mes Cross, P.E. Program Manager On-Site Services JC/kb cc: Robert C. Cowan, P.E. PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASICA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW930335 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SULLIVAN JIMMY OWNER ADDRESS:P.O. BOX 197 EAGLE RIVER ALASKA 99577 DATE ISSUED: 8/31/93 EXPIRATION DATE: 8/31/94 PARCEL ID:05111208 LEGAL DESCRIPTION: RIPLEY LT 4 LOT SIZE: 65870 (SQ. FT. NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 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: ISSUED BY: ~ Municipality of Anchorage HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS August 23, 1993 DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, AK 99519-6650 ROBERTSHAFER, P.E. ROGERSHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 REFERENCE: Ripley Subdivision, Lot 4 We request you re-issue permit #SW920233 to drill a well to serve the proposed four bedroom house on the referenced property. The permitted septic system was installed in May 1993. Although, prior to the well being drilled the referenced permit expired. If you have any questions, or require additional information for your review, please contact us. WELL INSPECTION ~/ & PLOW TEST SITEPLANS~A- Shafer, P.E. ROADDES~CN J RAS/LSU/lsu SOIL TEST PERCOlaTION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577