HomeMy WebLinkAboutTAIGA LT 1
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: S~,Y-~ q~'otG,~ PID Number:
Name: ~LL~D~, ~[O~[~b Wastewater System: 0 New ~Upgrade
Address~ ~ ~ -- ~[~¢ ~ ~o~ ABSORPTION FIELD
Phone: ~ ~ rooms: ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
Total Depth from original grade:
LEGAL DESCRIPTION soi,~..g: h
LOt: Block; Subdivision: Deplh to pipe bottom from original grade: Gravel depth beneath pipe
Township: ~ Range: Section: Fill added above original grade: Gravel length:
I
WELL: 0 New 0 Upgrade Gravel widtb: ~ Ft. Number of~ lines:IJOistancebet~ween
lines:
Ft.
Classification (Private. A,B,C): Total Depth; Cased To: Total absorption area: Pipe material:
Yin,d: ~MI~umps~t'~: Ft. I Casing Neigh' Ab°ye Gr°u;;: TANK
SEPARATION DISTANCES ~ Septic B Holding U S.T.E.P.
To I Sepiic Absorption Lilt Holding Public/Privet( Manufacturer: Capacity in gallons:
From Tank ¢ield Station Tank Sewer Lfnes
Material: Number of Compartments:
Surface
w~t~r ~/~ ~/~ LIFT SIATION
Lot Size i0 gallons: Manufacturer:
Foundhtion ~ ,~ : "Pump on" level at: "Pump off' level at: High water alarm at:
CurtainDrain ~ ~ Pump Make & Model ~ Electrical Inspections performed by:
Remarks: BENCH MARK
~~ ~ ~l¢ ~ Location and Descripgon:
~ I Assumed Elevation: ~ O
Inspections performed by: Dates: 1st
Department of He s ap
Reviewed and approved b ate: ff/¢/¢~ ~'. ':'
72-013 (Rev. 9/91 ) MOA 25
2S
D
N
SCALE; 1' 58 F~.
f~oi! E~senen~
Slope Eosement
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gENCHIINAII?K I
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203 W 15TH. AVENUE
~.NCH. AK. 99501
(9o7'1 279 5915
LOT I TAICA S~i)
9500 MIDDEN WAY
RICK KULLBERG
I I SEPTIC SYSTEM ASBUILT
DATE: JULY 12, 1994
SHEET: 2/3 GRID:2142/2145
STANDARD TRENCH;
50 'LONG
8' DEEP
5' ROCK
TRENCH CLEAN OUT
TRENCH MONITOR
TRENCH CLEAN OUT
ol
FOUNDATION CLEAN ZTUT o
DOUBLE CLEANOUTS
1~S0 GAL SEPfIC lANK
VERIFY /N?EORITY
IdiFoFi 140
76.~
Cleonou~5
~oni~o~'
4~ Topsoil
3' Cover~
85.5~
76.7
ND SCALE
71
TOBBEN SPURKLAND P.E.
205 W15th Ave
Ak 99501
9500 MIDDEN WAY
RICK KULL£ERG
SEPtiC SYSTEM ASBU~T
DATE: JUZY 14 1994
SHEE~ SRID.'2145
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF
ON-SITE WASTEWATER DISPOSAL SYSTEM
PERMIT NUMBER:SW940165
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:KULLBERG RICHARD W & KRISTINE
OWNER ADDRESS:9500 MIDDEN WAY
ANCHORAGE, AK 99507
(UPGRADE) PERMIT
DATE ISSUED: 6/02/94
EXPIRATION DATE: 6/02/95
PARCEL ID:04103107
LEGAL DESCRIPTION: TAIGA LT 1
LOT SIZE: 97147 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
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 CITAPTERS
15.55 AND 15.65 AND THE STATE OF ALASRA 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)
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:
DATE:
DATE:
T.SPURKLAND P.E.
203W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 1 TAIGA S/D
RICK KULLEERG
NO Ground Water or Impervious Layer to 14 ft.
Use Standard Trench
Soil Rating. From test May 12, 1994
<lmin/in = 1.2 gal/sq.ft
Soil is 77% sand, See sieve analysis
Required Area per Bedroom:
150/1.2 = 125 sq.ft..
Testhole Total Depth 14
Less 6 feet 8
Less 3' Cover 5
Rock Depth 5
Number of Bedrooms 4
Length of Trench 125x4/(2xS) = 50
ft.
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH 50 FT.
TOTAL WIDTH 2 FT.
TOTAL DEPTH 8 FT.
ROCK DEPTH 5 FT.
COVER 3 FT.
SEPTIC TANK 1250 GAL. EXISTING
VERIFY INTEGRITY OF TANK
The installation of this septic system will not prevent wells
from be installed on the adjacent lots.
There are no developed or natural surface / sub surface drainage
courses on this or the adjacent lots.
The proposed septic system will not change the general slope of
the area. Ponding and/or concentration of surface runoff will not
result from this installation.
Septic System Design
Lot 1 Taiga S/D
pg.1
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
PEREO.MED FOR: F'-¢ LLI~--~&.
2
3
5
6
7
8
9
10
11
12
13
14
15
17
18
19
20
DATE PERFORMED:
Township, Range, Section:
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth Io Water Afl~
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ' ~ I (minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN ~ FT AND :"'~'~ FT
COMMENTS
PERFORMED BY: %9 I %'~ CERTIFY THAT TF[IS TEST WAS PERFORMED IN
^OOOR.ANOEW,T.A''STATE^N.M..,C,PALG 'O "NES'" EOTO H'SD^TE. BATE'.
72-008 (Rev, 4/85)
Y
LOT
LOT 4A
x. x ~L£F 3
50 100 15fl~ ~ O~ 300 ~
SCALE: 1' = 100 F~ ~ ~ ~ ~ ~ ~ ~ ~ ~
TOBBEN SPURKLAND P.E. II
II
203 W 15TH. AVENUE
ANCH. AK. 99501
LOT 1 TAI~A S/D
9500 MIDDEN WAY
RICK KULLBERO
SEPTIC SYSTEM DESIGN
DATE: MAY 9, 1994
SHEET: I/3 GRID:2142/2145
Smcondory Trench
In:toll Double Cleon
N
50 ?$ 100
SCALE: 1" = 50 FI.
Troll
S{ope Eosemen~
I I
I I
I I
6~rope
I I
Abonq/on?l I Jxls~, Trench
I I I
TOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCH. AK. 99501
(907~ 279-~916
LOT I TAIGA $/D
9500 MIDDEN WAY
RIOK KULLBE£$
SEPTIC SYSTEM DESIGN
DATE: MAY 9, 1994
SHEET: 2/S
STANDARD TRENCH;
50 'LONG
8' DEEP
5' ROCK
TRENCH CLEAN OUT
TRENCH MONITOR
TRENCH CLEAN OUT
ol
FIJUNDATIDN CLEAN DUT o
Mimo£!
o o
DOUBLE CLEANOU?S
1250 6AL SEPTIC TANK
VERIFY INTEGRITY
Honli. om
4' Topso#
3' Cover
d £~ DP Septic Rock.
ND SCALE
TOBBEN SPURKLAND P.E. II
205 Wl5th Ave
II
Ak 99501
9500 MIDDEN WAY
RICK KUZZBER$
SEPTIC SYSTEM DES/ON
DATE: /dAY 24, 1994
SHEET: GRID: 2145
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
8
9
10
11
13-
14-
15-
16-
17-
18-
19-
20-
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
iF YES, AT WHAT
DEPTH?
Depth to Waler After
Moniloring? Oale;
SiTE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~' I (minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN __ FTAND FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-008 (Rev. 4/85)
CERTIFY THAT THiS TEST WAS PERFORMED iN
·
) ~,~_.~ 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
MAILING ADDRESS ~ ~ I Z5~j' ~' '^
[ Well . /[ Absorption area x Dwelling ~ ~ PE~T ~O~
. DISTANCE TO: [ ~ ~O ~ G ~
~ ~ ' ' Material No. of compartments
Liq. capacity in Ballons Inside length Width Liquid depth
~,~ IF HOMEMADE:
, ~ Well Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in gallons
~ Well . Foundation Nearest lot lin~
No. of lines ~ Length of each~line / Total length~of~lines Trench wi?h~ inchesDistance between.~ lines
Total effective absorption area
~ ~ Top of tile to finish grade ~ G// Material beneath tile ~b inches
~ ~ Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ ~lass Depth Driller Distance to lot line PERMIT NO,
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
INSTALLER ~[
/
/
/
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
Permit
~pplicant:
5ocation:
Department' f Health and Env~~ Protection
825 k~ street,264-4720 Anchorage, AK. ~9501
~d~P~{2_ HANDWRITTEN PERMIT * * *
~R ON-SIT~ SEWER PERMIT
Legal Descripbion: Z~ / '~
TYpe of Soil.Absorption System Is:
Trench: Drainfield: /
Seepage Bed:
Maximum Number of Bedrooms:
Lot Size: ~/~7~
Holding Tank:
Soil Rating(sq.ft/br) ~-~
The Required Size of the Soil Absorption System Is: ·
DEPTH ~ LENGTH ~/~ '. GRAVEL DEPTH c2~ WIDTH
The length dimension is the length(in fee~) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation (in feet).
· * REQUIRED SEPTIC(HOLDING) TANK SiZE = /~%--~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
· * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee~
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is: 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 3L 1 9 8 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
S'igne~:
the residence is remodeled to
App 1 i~a~
include more that 3 bedrooms.
Issued by:
Date:
SWP/024(1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR: ~,¥~'%~'T {;:31''~
LEGAL DESCRIPTION: ~,~ ~'~' -~
SLOPE
1
2
3
4-
5-
6-
7-
9
10
11
12
WAS GROUND WATER SL
ENCOUNTERED? ~ pO
E
IF YES, AT WHAT
DEPTH?
DATE PERFORMED:
SiTE PLAN
13
14
15-
16-
17-
18-
19-
20-
COMMENTS
PERFORMED BY:
72-008 (6/79)
!R. Gross Net Depth to Net
eading Date Time Time Water Drop
PERCOLATION RATE "/{ :~* ,~ ' ~ ~' t ~ ;{;rt[~ut~7'inch)
TEST
RUN
BE~EEN
~ WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological ~ GeophysicBI Surveys
Drilling Permrf No,
LOCATION OF WELL (Please complete either la~ lb or lc.} A.D.L. NO.
~leorouph Subdivision Lot Block ~ I/4qtrs. Section No. Township N[~ Range E[~] Meridian
~DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 5. OWNER OF WELL:
Street Address and Area of Well Location ~ff~ ~ J~. ~'~{},~")
WELL LOG Feet Below 4. WELL DEPTH: (final) 5. DATE OF COMPLETION
' ~ ' ~ ~:~ ) '~ J ~7 ~' 8. CASING= ~ Threaded ~ Welded
diem, ~ in. o I ~ ft. Depth Weight
diam. in, to ff. Deplh Sfickup ~ ~. ft.
9. FINISH OF WELL:
Type: Diameter:
Slot/Mesh Size: Length:
Set beJween ft. and ft.
Equipment used: f~t]~l~E~-,
Material: ~ Neat Cement ~ Other:
'. APPLIrF~NT FILLS OUT UPPER HA~ ~ ONLY
Time Time Time Time
Date Date Date Date ~ _~.~
Inspector inspector Inspector Inspector
Field Notes:
/../2/~) / MUNICIPALITY OF ANCHORAGE
RECEIVED
~ ~ ~ g.-- ~ ~ We[ItoTank // ~ t Septic T~k Size / ~ C ~