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HomeMy WebLinkAboutLAKE HILL ACRES #1 LT 1Lake Hill Acres Lot 1 #051-052-01 inspection Keport_1-1-12.doc Municipality of Anchorage Community Development Department Page 1 of 2 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121115 PID Number: 051-052-01 ❑ New ❑✓ Upgrade Name: Richard and Sandra Farmer ABSORPTION FIELD ❑ Deep Trench El Shallow Trench El Bed ❑Mound Address 22749 Miller Road ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Lake Hill Acres #1 1 Fill added above original grade Ft.Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Flz Ft. Well 100.3 N/A N/A N/A 87,0 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank1000Gal. Capacity Surface water 100+ NIA N/A NIA Material Number of compartments Lot Line NIA N/A N/A Steel 2 NA Foundation LN/A N/A N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A NIA N/A Gal. RemarksTank replace only. Pump on level at In. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL Housetotank PVC drainfield Tank to PVC Flintstone Enterprises Drainfield CO/MT Inspector Steven R. Pannone BENCHMARK (Assumed elevation) 100.0ft Ins 1' 12/20/11 Location and description dates: 2na e 4m Bottom of trim @ nearest house corner COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date �+ *� 4 *' �tevert Esr dome' CE ¢8�1�4^f f Approved Date inspection Keport_1-1-12.doc RECORD HOUSE (E) 1 OOOg SEPTIC TANK (E) ABANDON PER CODE WE (E) 3 W- \N REESE ROAD WELL (E) _ 41.8 NOTES: PAMONE ENG SVC, LLA. AWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 LAKE HILL ACRES #1, LOT 1 RICHARD & SANDRA FARMER 22749 MILLER ROAD PLAN EAGLE RIVER, AK 99577 A B T1 49.7 44.8 T2 53.0 50.5 DCO 54.2 52.5 DV 55.5 54.4 T_. NEW 1 OOOg SEPTIC TANK INSTALLED DCO AND DV 6 DRAIN FIELD (E) DRAIN FIELD (E) oO ti F a F qo qO o TANK PROFILE gf• .9 �' Scale "' • P.I.D. NO / 051-052-01 Steven R. Pannone PERMIT NO. I CE98149� j OSP121115 +t III& ......I�P�" � Sheet \����� 2 OF 2 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121115 Tax Code Number: 05105201000 Work Type: Septic Upgrade Permit Effective Dates: June 14, 2012 to June 14, 2013 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: LAKE HILL ACRES #1 Site Legal Address: LAKE HILL ACRES #1 LT 1 G:1561 Owner/Address: FARMER RICHARD & SANDRA PO BOX 771725 EAGLE RIVER AK 995771725 Site Mailing Address: 22749 MILLER RD, Chugiak Lot Size in Sq Ft: 21834 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 067`052- `01 Property owner(s) MC -1198 O s.5g.JDM %fJ""E ft- Day phone Mailing address P.Ct S&X -7717255- , E.44,1 �lV£X,�lc !U -S-7-7 Site address AIL--ef. F,ai30 . EA6t� 2tva:R Legal description (Sub'd., Block & Lot) LAS ILL Lf«s tl I . LaT i Legal description (Township, Range & Section) Lot Size 2112' 3 q Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial E]Absorption Field El Upgrade 91Septic Tank Renewal ElHolding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Permit/Rush Fees: 4200.02 Waiver Fees: Date of Payment: (o ILO//a Date of Payment: Receipt Number: OL12g6 Receipt Number: Permit No. ASPY2 1115 Waiver No. GABuilding\On Site\FormslClient FormsTermitApp_010411.doc (Rev. ilii) Pannone Engineering Services u.c Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panenRak.com June 4, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street Anchorage, Alaska 99519 Subject: Lake Hill Acres #1, Lot 1 Septic Tank Replacement Permit Request Ladies and Gentlemen: I am writing to request that a permit to install a new 1000 gallon septic tank be issued for this lot. The proposed systems will serve an existing three-bedroom house. Currently the lot is developed. The existing septic system was designed and installed for a three-bedroom house and is operating adequately for three bedrooms. The existing 1000 gallon septic tank is perforated and is leaking. The existing tank will be abandoned per code. The surrounding lots are served by private wells, and there are no wells within 100 feet of the proposed septic tank. This lot is served by a private well that is over 100 feet from the existing drain field and proposed tank. PES will verify all required separation distances at time of installation. 1. Upgrade Tank Design. a. See Sheet 1 of 1 of the plan set 2. Surface Water: There is no surface water within 100 feet of the proposed system. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: Tract 1-E slopes from north to south at approximately 12% in the area of the tank replacement. The proposed installation will be located in the southern portion of the lot next to the existing septic tank and absorption system. Mailing: P.O. Box -100217, Anchorage, AK 9957.0 0217 Physical: 3321,12 East Manor Ave, Anchorage, AK 99501 Telephone. (907) 272-8218 FAX: (907) 272-£3211 Page 2 of 2 The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mailing: P.0, Box 1.0021.7, Anchorage, AK 99510-0217 Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 1d`/M M M \h1 / REESE ROAD / WELL (E) 1 � O 1OP `r 4 / HOUSE 102.0 (E) 10008 SEPTIC TANK (E) ABANDON PER CODE DRAIN FIELD (E) W DRAIN FIELD (E) 23.9 10009 SEPTIC TANK (P) �P / 3 INSTALL DCO AND DV GZ' f � WE (E) o� o� w��/ NOTES:PAMONE ENG SVC, LLC . —�'pF A \�l D/te/ FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 i '(�••"' s i� a 10 2012 PHONE (907) 272-8218 FAX (907) 272-8211 /�g�Py�+ Scale ...... .. ... :.. / P.I.D. NO LAKE HILL ACRES #1, LOT 151-052-01 RICHARD & SANDRA FARMER / teveCEk8l annone� PERMIT N0. 4 22749 MILLER ROAD t�� ;'• 12p�OSP PLAN EAGLE RIVER, AK 99577 ,tlP$�ES50Np Sheet \ ��� 1 of 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES SEPTIC ABSORPTION Address FROM TANK FIELD WELL I�oB 9/�S9 wcF/ Avr 95So� Phone(s) Permit No. No. of Bedrooms WELL 3 y 5-/ I I DO bra 7 LEGAL DESCRIPTION LOT LINE a C/ /S /(, 131 Lot Block Subdivision / "A L � ke F'/,// 4e er-/ FOUNDATION Township, Range, Section %/.S W /� L✓ Se -G, 3 AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, % driveway, water bodies, etc.) TANKS ® SEPTIC❑ HOLDING R OA F_ X/sT/^✓� Manufacturer Capacity in gallons - ✓� fu Gftt ,t= IC /Oo O 5 wee Material No. of Compartments STle— Ei a TYPE OF SYSTEM ❑ TRENCH ❑ BED W. DRAIN ❑ OTHER aI Depth to pipe bottom from Total depth from original grade 5 e original grade/ _/ /-';, FT 3 NPe- FT Fill added above original grade _ Gravel depth beneath pipe a FT /;a FT 5'r I� Gravel length Gravel width yrE`� /-30 FT FT P a o ,�7 Total absorption area Distance between lines 1 s ,P33 SO FT FT pp Number of lines Soil rating Pipe material oZ -_76 6� SO FTS yam+ _7c! 3 L/ F bio i Installer Q �/ lLi(� Date Installed 0 �4 J h-+C�h,�� 01 / 6 /39- ` (� WELLS N PRIVATE N� ❑ OTHER (Identity) Classification (A,B,C) Total Depth Cased to FT FT p _ G /✓ u Installer Date Installed: ® 'V >-O REMARKS: LESS- A(p F/+rST DPZAWI' CLD 0 V a a rl"&lr TO 2N10- ,;rNSK L 4 rea �vVT/RE GBIv6Th/ /.V �" cr ,e vsL aA �+'1 EFrJ'T/NG TRFr✓L./ CONNFCT6b Te Now SYX7-r_SCeI@: 44'7'6/ 4 7-4�A A114 T//V G 7-y P k 4.;i 1E -"rfA//eL Inspections Performed by: Eagle River Engineering Services " qr P�� 6?vGvNad� s/T� �s�ra g P. 0. Box 773294 Date: Eagle River, AK 99577 �� St �a r 694-5195 oop°oc o'. oeoCeo aoe ea 6 cehify that this inspection was performed according to all •. -n '4" ''rte Louis.A. Bu4era , o �tici e Municipal and Slate guidelines in effect on this date l' i6 �Y ®� J e'o CE -6736 (30,000..009 r ^ �� O,c° cESS1 Health Department Approval: Date: MUNICIPALITY OF 64NCHORA8E Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343~4720 ON~SITE SENER Permit Number: 880080 Upgrade Date Issued: 06/1O/88 Owner Name: RICHARD / SANDY FARMER Owner Address: PO BOX 91859 ANCHORAGE, AK 99509 Parcel Id: 051~052-01 Lot Legal: Subdivision: LAKE HILL ACRES #1 Section: 3 Township: 15N Range: Lot Sizo 22000 (sq"ft" or acres) Max Bedrooms: This Permit: 3 Total Capacity: Day Phone: 349~1572 Lot: 1 Block: - 1w IN SEWER SYSTEMS: Listed below are the options available to you in designing your sewer system. x4mWErmAywal 40.61—Pubs W. D R A I N Depth to Pipe Bottom (ft): 5"0 Gravel Depth (ft >: 1"5 Total Depth (ft): 6"5 Gravel Width (ft): 5.0 � Gravel Length (ft): 126,0 Gravel Volume (cubic yds): 46"7 Soil Rating Used (sq ft/brm): 268 ** Gravel length > 50 feet requires multiple soils tests" ** Gravel length > 75 feet requires multiple rune, (not exceeding 75 ft each) - LWT STATION: If a lift station is installed, a high water, alarm must be connected to the residence" SEPTIC TANK: Minimum total septic tarlk Wpacity: 1,000 gallons, Each septic tank must have at least 2 compartments" Depth to top of septic tank -'(S) < 4.0 feet requires insulation over tank(s}" INSTALL PE,R ENGINEERS DESIGNq SHOWN ABOVE. NOTIFY DHHS BEFORE IST & 2ND INSPECTIONS, THIS PERMIT EXPIRES MUNICIPALITY OF ANCHORAGE Department of Health & Human S�rvices 825 L Street., Anchorage,, Alaska 99501 343~4720 ON -- SITE SEWER PERMIT Permit NUmber: 88O080 Page 2 I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the MunIcipality of AnchDrage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit" 3. I will adhere tC/ all MOA and State of Alaska requirements for the back distances Own any existing well, wastewater disposal system or public sewerage system oI..I this or any adjacent or nearby lot, 4" I understand that this permit is valid for iA maximum of 3 bedroorris " I also understand that the capacity of the total system is 3 bedrooms and any enlapgement will require an additional permit" Signed: DATE: ��_=�....... ~..... .... ___� (Owner) RICHARD Issued Dy: DATE: o ` 'e LEGAL: LOT 1, A. GENERAL SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM BLOCK n/a, LAKE HILL ACRES 3�1 1. The well and septic plan are for a single family residence only. 2.. The drawing and or site plan :shall be a part of this specification.. 3. A1.1. materials and workmanship shall meet the Anchorage Department, of Health and hate Department Of Environmental Conservation require-me nts. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5, All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meat Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7_ TI -ie excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. S. It is always recommended that a surveyor locate the nearest .lot :line position and the location of any easements. 13. DRAINFIELD 1. The drainfield is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The: bottom of the drainfield shall be level, plus or minus 1,5". 3. 'The total depth of the drainfield excavation is not to exceed 3.5 at any point. 4,. The sewer line is to be connected into the existing leach Line to allow alternate switching of effluent to the upgraded leachfield. S. The drainfield gravel is to be covered with typar or Fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of -' or equivalent is to be placed over the drainfield. 7. The area over the drainfield is to be finish graded to prevent ponding of surface water runoff. B.. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well.. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH -- 2.5' GRAVEL_ DEPTH == 1.5' under- pipe DRAINFIELD LEINIGFiT = 126' (2 each at 63' long) DRAINFIELD WID-m -; 5' Soil Rating M 268 AVG_ Bedroom Capacity = 3 Septic Tank Size = 1.000 Existing ***NOTE: SAND FILTER NOT REQUIRED DUE TO PRESENCE OF GM LAYER. MUNICIPALITY OF ANCHORAGE �1 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-0720 / SOILS LOG — PERCOLATION TEST X SOILS LOG rXT PERCOLATION TEST PERFORMED FOR: 1, FA yr^ e r. DATE PERFORMED: LEGAL DESCRIPTION: LD1` of La Ne /-4V 4crtJ 4c154v V 7 -1 -5 -Al /VA. Sec -3 SLOPE SITE PLAN 7 8 9- 10- 11 1011 12 13 14 15 16 3 C 3 eG-,4b= SCO "IOJB^ 17 ° C '�,'� `au pGp Gd u0 o pOG4 OG6-� j G� 18 C 6736fLa rWFESCS 20 COMMENTS WAS GROUND WATER ) ENCOUNTERED? o IF YES, AT WHAT DEPTH? S L —O P E Reading Date Gross Time Net Time 1 Net Drop ScAK / 1 2 '2 /o �l. /6 „ 4 3 , s.,Lf �G 5 6 G e� S; ;la. is 111 & 2 6 7 8 9- 10- 11 1011 12 13 14 15 16 3 C 3 eG-,4b= SCO "IOJB^ 17 ° C '�,'� `au pGp Gd u0 o pOG4 OG6-� j G� 18 C 6736fLa rWFESCS 20 COMMENTS WAS GROUND WATER ) ENCOUNTERED? o IF YES, AT WHAT DEPTH? S L —O P E Reading Date Gross Time Net Time Depth to Water Net Drop ScAK /o 3-6/�� /6 „ 3 , s.,Lf �G 6 PERCOLATION RATE TEST RUN BETWEEN a6. 6 (minutes/inch) 3 FT AND 4Z FT Eagle River Engineering Services ---- � y py PERFORMED BY: p 0 8nx 774?4a CERTIFIED BY: DATE: , Eagle River, AK 99577 cni c<nc �;� •�• J$ SOILS LOG MUNICIPALITY OF ANCHORAGE Ip DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-0720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Rr c tie rc't Fu rme r DATE PERFORMED: S/,, 7��rs' LEGAL DESCRIPTION: L.OY� of .Cu /TG /�i LJcre,r L/l4& %/S Al /P /W S(fe, .3 SLOPE SITE PLAN 3 4- 5 5 6 6� 7 _a 8- 9- 10- 11 910 11 12 i7 13 /ode, se, / ---' D/P 6A-IIL (6,-) .S4 vof � 6ro ✓e f (Gm� S,/ty S4 JOry G.e� war.. Peru, /_io, H , 14- 15- 4 4 154 o 17 o " , oFa@ A000 00 0 o ea , Ao Lo..is A. I'.Vferct G ` C -57 18 3fi pRO ESSlO�"� 19� 20 COMMENTS WAS GROUND WATER S ENCOUNTERED? N L O /70,✓" -ore cQ P IF YES, AT WHAT 4 7 o(".vC • E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop SOAR •5�71j- PERCOLATION RATE y (minutes/inch) TEST RUN BETWEEN , a /SFT AND 3 �FT egle River Engineering Services fG3�Gt� PERFORMED BY: P. 0. Box 773294 CERTIFIED BY: DATE: Eagle River, AK 99577 694-5195 well HSE NEIGH. WELL +100' DISTANCE REESE ROAD 100' / 119.1 DRIVE T,H,2 r / o -Q -SEPTIC TANK EXISTING LEACH <v� FIELD C>/ , i i i i WELL AND SEPTIC SITE PLAN LEGAL: LOT 1, LAKE HILL ACRES ADDN, #1 MUM% ❑NTRACT❑R:AL RASSMU AGLE RIVER ENGINEERING SERVICES ❑ BX 773294 AGLE RIVER, AK, 99577 94-5195 EASEMENT — — — — — — EXISTING LEACH FIELD NEW LEACH FIELD CLEANOUT -° SCALE: 1' = 50' o ' s C 9 o go9 esav_ QQf•a ®�o° °a a e • oea� t� cn o Louis A. Sutera ° CE -6736 ®J� 0 00 �,0 �?HUFESSIONP���' MUNICIPALITY OF ANCHORAGE " DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME I"G � PHONE %f (� •�g`�-r / NEW ❑ UPGRADE MAILING Al SS LEGAIr DESCRIPTION ©� ( 14 ifL LOCA NNO. d Io/ �L A)&) e, P s OF BEDROOMS DISTANCE TO: Well Absorp " n area � � 1 Dwelling�, � PERMIT N 0�7g F Z CL Q Manufacturer � i-� ei�'�. Materia♦-.. No. of compartments ^ OI` w~ Liq. ca acjty in gallons IF HOMEMADE: Inside length Width Liquid depth JaZ DISTANCE TO: Well Dwell, PERMIT NO. = Z Manufacturer Material Liquid capacity in gallons D LU = DISTANCE TO: Well 1 QF Foundation Nearest lot line /�. PERMIT NO. Q CJ LU LL Z Z w F -oC No. of line Length 6e fne Total len limes Trench y.�idth inches Distance betty e n � f.. p Top of the to finish grade �T Material beneath the7 inches Total effective s r 'o rea w a Length Width Depth PERMIT NO. a I- wa Type of crib Crib diameter Crib depth Total effective absorption area wWell ca DISTANCE TO: Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO -7 DISTANCE Building foundation Sewer line Septic tank Absorption areals) OTHER � L PIPE MATERIALS a, AST TR 0t) SOILTESTRATING� /1 �,J If F)710 e v Q INSTAL ERL To REMARKS 1�37 NC,9,S ® s � as- PROVE DATE LEGAL �����A K���r V���� �� �� ,���� DEPHRTMENT HEHLTH HND TION " 825 'L' STREET/ HNCHORHGE� All:::. 99501 .' 264- 0 A 9 KE7 U.. R. 11"'11 V-41 F P. P.. -0, �a AE.E� ����F 11 DE� PERMIT NO ( 780799 ) HPPLICHNT RICHHRD FHRMER� 7800 �EBHRR SP LOCHTION DEAD END OLD GLENN PETERS C: FI LEGHL L1 LHKE HILL HCRES #1 TYPE OF SOIL HBSORGTION SYSTEM IS: TREMCH 21000 SQUHRE FEET MAXIMUM NUMBER OF SOIL RATING 150 . THE REQUIRED SIZE'OF THE SOIL RBSORPTIOf! SYSTEM IS� ` �P,- U P-01 IC:i' 11 � P., !1: W RA two fEn R.. VA Q: 00- f-T� � � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTRICT! BETWEEN THE SURFACE OF THE GROUND HND THE BOTTOM OF THE EXCRV8TION <IN FEET). THERE IS NO SET WIDTH FOR TRENCHES THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL. BETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVRTION (IN FEET). Q M I&TO R-0 1 own K Fix W W F=" A- 1: K3 V F'T P-4 K 11: 2-"� F --E 1C-:a�� ' PERMIT HPPLICHNT HHS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTHLLHTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY HND THE NUMBER UF RESIDENCES THAT THE WELL WILL SERVE. -F, mi m Q. -,", :1 IN IRS 1"" K Q W :1 13 p"! M f? A Q lot K all k J :1 FR M I> ~ BRCKFILLING OF ANY SYSTEM WITHOUT FINAL. INSPECTION HND HPPROVHL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION MINIMUM DISTHNCE BETWEEN H WELL HND HNY ON~SITE SEWHGE DISPOSHL SYSTEM IS 100 FLAT FOR R PRIVHTE WELL/ OR 150TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PU8LIC WELL WELL LOGS HRE REQUIRED AND MUST BF RETURNED TO THE DEPHRTMENT WITHIN ]0 DHYS OF THE WELL COMPLETION OTHER QUIREMENTS MHY HPPLY, SPECIFICATIONS AND CONSTRUCTION DIRGRRMS FIRE HVRILHBLE TO INSURE PROPER INSTHLLHTION. �������� ���������� ������F IF, l CERTIFY THAT 1: I HM FHMILIHR WITH THE WELLS RS SET FORTH BY THE MUNICIPHLITY OF HNCHORHGE 2� I WILL INSTALL. THE SYSTEM IN HCCORDHNCE WITH THE CODES it: I UNDERSTAND THHT THE ON—SITE SEWER SYSTEM MAY REQUIRE EHLHRGEMENT IF THE RESIDENCE IS REMODELED TO IHCLODE MORE THON ] BEDROOMS. SIGNED ISSUED � v� ���-��-�'_...__ Const.'uctcon ,d "On/ :cit fi ti'Y.th a f f ' 2209 Cleveland Anchorage, Alesk- Date Performed 8-26-78 :9503- J e r f o r me d F o r Richard Farmer Legal Desc rintion: Lot 1 Block: Subdivision Lake Hill ACYPG This Form Renorts Soils Loq Yes Percolation Test___ nenth Feet Soil haracteristics 2 — q — Slightly Silty Sandy Gravel 8 — 10 — 12 — 14 Bottom of Test "Hole 16 r>C 20— k'as Ground Water Encountered? ,No If Yes, At what Depth? Readinq I Date { Gross Time oQ — P Net Time Depth to H2O I N:et Dron Percolation Rate Minute Proposed Installation: Seenaoe Pit Drain Field _ fieoth of Inlet Depth To Bottom Of Pit O F Trench fnuNENTS: 150 Sq Ft . -drainage ra rannired oar h - Test Performed 8 na _ Vata Certified Date: 8-26-7 8 I inl r 4 oQ — P Net Time Depth to H2O I N:et Dron Percolation Rate Minute Proposed Installation: Seenaoe Pit Drain Field _ fieoth of Inlet Depth To Bottom Of Pit O F Trench fnuNENTS: 150 Sq Ft . -drainage ra rannired oar h - Test Performed 8 na _ Vata Certified Date: 8-26-7 8 ' Trr.'ifrb Drithug fxg From Ft. to by From Ft. to DOC Co. dba From SULLIVAN WATER WELLS From P. 0. BOX 272, CHUGIAK, ALASKA 99567 • TELEPHONE 688-2759 OWNER OF LAND From DEPTH OF WELL Ft. ADDRESS Ft. to STATIC LEVEL OF WATER FT From LEGAL DESCRIPTION Ft.. DRAW DOWN FT. Ft. to DATE - Started Ended GALS. PER HR PERMIT NUMBER From KIND OF CASING KIND OF FORMATION: From -Ft. to - Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to_ Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft.. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. Fro n Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. MISCL. INFORMATION: r1ArI f FA'Q NAMF Oct -15t U—Q— For- (O VYICt i PFA 5. LEGAL DESCRIPTION MUNICIPALITY OF ANCHORAGE MUNICIPALITY Of- ANCHORAGE DEPT' OT I --.^-L-' & .� DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC IM 825 L Street - Anchorage, Alaska 99501 �'�"'ROINI''`NTAL - i:CTION O i' ii ENVIRONMENTAL ENGINEERING DIVISION lvi Telephone 264-4720 ((�`j� REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE k l�EEUTFED DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPOWNER�(' PF40 < 4 l MAILINGADQRESS PROPERTY IDENT (If different from above) PHONE f 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTIT N s ^ PHONE MAfLINGADDFZS$�,� 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION UsfIf a� STREET LOCA Y V t j % / !_L 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS SINGLE FAMILY E:1 One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY {�hree ❑ Six 7. WATER SU PLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ' Z INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date _—\ If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) 1 , i THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified' PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED U _� INSTALLER ❑Septic Ta k or El Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING ]� TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 1 /4. DISTANCES WELL TO: Septic/Holding Tank %/ dd Absorption Area 0 ! ' 0 Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS U APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE S-- 23— BY (Title) LEGAL DESCRIPTION /z -U IU IHev.3//8) -q LO Ld A6, I 6, �J. May 10, 1979 Richard Farmer PO Box 4-1859 Anchorage, Ak 99509 Subject: Lot I Lake Mill dcres Approval for your individual sewer and water facilities will not be granted until the following items have been leted: (1) A well log is submitted to this department. (2) The depression or pit around the well casing should be filled with impervious type soil so that it slopes away from the will casing. (3) The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. notify this department for a re -inspection when descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, RSS. Associate Specialist RCP/da CC: Alaska USA Federal Credit Union 777 Juneau Street 99501