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Municipality of Anchorage Page
-' 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 l t'l '7 PID Number:
Name: ~ ~ ~ ~ ~ J ~'B ~ ~ Wastewater System: D New ~Upgrade
Address:
i~l~ ~o~¢~ ~'~ ABSORPTION FIELD
Phone: ~'-- ~'~ ~No. of B~ooms: ~DeepTrench B Shallow Trench ~Bed ~Mound BOther
LEGAL DESCRIPTION so, Rating:/ Total Depth from original grade:
~ ~ GPD/Sq. Ft.
Lot: Block: Subdivision: Depth to pipe bottom from original grade: ' Grave depth beneath pipe
WELL: ~ New ~ Upgrade erave~ ~: ¢ ~'¢~ '~ Ft. Number of~ lines: lDistan~eenli.es:
Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: Date Drilled: StaticWaterLevek Installer:~__ __ Dateinstalle
SEPARATION DISTANCES ~eptic n Holding ~ S.T.E.P.
TO Septic A~sorption Lift Holding Pubiic/PHvate Manufa ruler: Capacity in gallons:
From Tank FieM Station Tank Sewer Lines X,~, ,TE~
Material: Number of Core.manta:
Surface
Water ~¢.a NCa~ ~ LIFT STATION
Lot ~ Size in gallons:~ Manufacturer:
I
I
Remarks: BENCH MARK
~ Location and Descriptio~
,nspoctlonsperformed by: - Dates:lst /,o/~
Department of Health~d Hu ~ces approval
Rewewed and approved by. Date:
72-013 (1/91) MOA 25
EP?IC TANK
WOO GAL
RIO0. O0
T~M
64,5
TRENCH
6~S FL LONG
N
", SCALE,~ 1~ = 5~ FT.
100 12.5 1.50
T1~M: T£P FDUN£A HOW
ELEV, 100.00 FT.
TDBBEN SPURKLAND P.E.
203 ~ 15TH. AVENUE
ANCH, AK, 99501
TRACT 1 TIMBER TRAILS
SEC 34, FInN RSW
R£ZERT ARWEZDN 14100 GOLDEN VIEW
SEPTIC SYSTEM ASBUILT
DATE, JUL Y 5~ 1993
SHEET, ~°/3 GRID, 3037
6£.5
_1
C(ean Out
Man/tar
C{eon Ou~
3
3'~llde
68,5' ~on9
10' ~eep
6.5' Sewer Rock
3,5' Cover
Cleonouts
4' Topsoil
Monl-'coF'
Exist, Oround
95,4
Mlma£! 140
89_+
6,5 Pt o£ Septic Rock
Nd SCALE
83
1000 9al, septlc tank
TDM: TOP FOUNDA TI£N
ELEV. 100.00 FT.
TBBBEN SPURKLAND P.E,
203 ~15th Ave
Anchorage Ak 99501
TRACT ] TIM~BER TRAILS S/D
SECTION 34 TI~N
RZTDERT AR~EZON 14100 GOLDEN VIEI¢ DRIVE
SEPTIC SYSTEM ASBU1LT
BATE, JUL Y ~ 1993
SHEET, 3/3 6R~B, 3037
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH ANDHUMAN SERVICES
P.O. BOX 196650, 825'"L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW930147
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:ARWEZON ROBERT K JR
OWNER ADDRESS:14100 GOLDEN VIEW DR
ANCHORAGE, ALASKA 99516
DATE ISSUED: 6/10/93
EXPIRATION DATE: 6/10/94
PARCEL ID:01710132
LEGAL DESCRIPTION: TIMBER TRAIL TR 1
LOT SIZE: 506603 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD 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 343-4329 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:
IDENTIFY LOCATION OF OUTBUILDINGS ON FINAL INSPECTION
REPORT.
PROPERLY PUMP AND ABANDON EXISTING CESSP00L AS CONDITION
DATE:
DATE:
(907) 279-5916
SEPTIC SYSTEM DESIGN
T R 1:i C T 't T t !'i~ER TR~.. ii LS I~i / t],
ROBERT AR~IEZON
50/
I\h_unb~_~-' o'f E~cadrciorns
SYSTEt'i
STANDARD TRENCH
TOTAL LENGTH &215 FT. /
TOTAL WIDTH 5 FT.
TOTAL DEPTH lO FT.
ROCK DEPTH & FT.
SEPTIC TANK 1OOO GAL.
-- B NDSN EXISTING SYSTEM
POMP AND CRUSH EXISTING CESSPOOL
I."'es~Ltl '(:. -F~-c~m 'I-.hi s4 i r'i!~'l:a]. ]. a _i (:~1-~.
ii!iC.!l::it.'. :i c: Eivs'l::e i>¢~si gn
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10-
11
13-
14-
15-
16
17-
18-
19-
20-
COMMENTS
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
"'(ENGINEER'S SEAL)
DATE PERFORMED: ~
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
s
L
O
SITE PLAN'
IF YES, AT WHAT
DEPTH? P~
Depth to Waler Ailer
Monilorifl,? ~ Date:
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE ¢~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~'~ FT AND ~ 7~-~- FT
PERFORMED BY: I CERTIFY TH~,T THIS TEST W~S PERFORMED IN
72-008 (Rev. 4/85) /
-- ----134fH A~'E--
SCALE: ]'" = lSO FT,
TDB3EN SPURKLAND P,E,
~03 ~ ]STFi, AVENUE
ANCH, AK. 99501
SEPTIC SYSTEM DESIGN
DATE: JUNE L J995
SHEEr: I/3 GRID, 3037
?EPITC TANK
GAL
~ gO'~
o~e
?£ENCH
6~.S Ff, LONG
A~ANDDN
CESSPDDL
£5 0 25 50 75 100 1~5 150
SCALE; 1' = 50 FL
TDBBEN SPURKLAND P.E,
803 W 15TFL AVENUE
ANCH. AK, 99501
SEPTIC SYSTEM DESIGN
DATE, JUNE 1 1993
SHEET: 2/3 GRID, 3037
'~ 6£,$ ~'
~ Honi~or Clean
Clean l]ut
3
,?'Wide
10' Deep
8,5' Se~em Pock
3,5' Cover
£1eanout~'
4~ Topsoil
3,,5'
Ex/st, 5round
140
6,5 £t o£ Septlc Rock
NO SCALE'
1000 9oL ~eptlc tank
TOBBEN SPURKLAND P,E,
BO3 W15th Ave
Anchopcge Ak 9950]
IBAC I] IIM3E£ ?£AIL £
SECTION 34 flpy ppW
PO3ERI AP~EZDN 14100 GOLDEN VIEW DRIVE
SEPTIC SYSTEM DESIGN
DATE, JGVE ~ ]993
SHEE]~ 3/3 6RJD, 3037