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Home My WebLink AboutWAGNER LT 2Onsite File n.. f� Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221169 PID Number: 017-092-89 Dwelling: N Single Family (SF) El with ADU [:] Duplex (D) 0 Two Single Family Project: A New El Upgrade Name HJELM ABSORPTION FIELD Deep Trench El Wide Trench El Bed El Mound Site Address E] Other Phone Number of Bedrooms 13 Soil Rating Total depth from original grade 0.6 GPD/SFI 8 Ft, LEGAL DESCRIPTION Depth to pipe invert from original grade 1.0 Ft. Gravel depth beneath pipe 7 Ft. Subdivision Block co _t WAGNERLOT2 Fill added above original grade 2.5 Gravel length Township Range Section Ft. 54 Ft. Gravel width 2.0 Ft. Beds: Number of Lines 1 Distance betwei-n—rines SEPARATION DISTANCES To Septic Absorption Holding Sewer Lift Station Total absorption area Number of trenches Ft. Dist. between trenches From Tank Field Tank Line 756 Ft2 Ft. Well 100,+ 100'+ 50'+ TANK IN Septic EIS.T.E,P. [03H Iding E10ther Manufacturer — Capacity Surface Water 100'+ 1001+ GREER TANK. DEEP BURIAL 1000 Gal. Material Number of compartments Lot Line 101+ 101+ NA PLASTIC 2 Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer Tankto PIPE MATERIAL Housetotank 3034 drainfield 3034 AK UNDERGROUND Drainfield 3034 C01MT 3034 Inspector MIKE N ANDERSON PE BENCH MARK (Assumed elevation) 104 ft Inspection 1st 10/19/22 10/23/22 dates: 2nd Location and description . 3 rd 4th ITOP OF MH LID ON -SITE WATER AND WASTEWATER SECTION APPROVAL Englineer's Stamp Conditional Approval: Date OF A 4� p, A 49TH ........... V�! MICHAEL N. AJ�DE;cSC,-4 Septic System Approved Date C it Note.- this approval does not include well permit requirements. (Rpv n!M211 Al Permit No. OSP221169 Page 2 of 2 Municipality of Anchorage 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 Legal Description: WAGNER LOT 2 PID No.: 017-092-89 it MARK �' B COt', 1 0 CO2; 66; 50 CO3'; 67`�, ITC01 ; 6 TCO2 ` 70 *6Q C04 `�72 �� C05 ' 73� \61 006 ; 85 \, 85 C'07 105 �, 78, MT1 1105 i n _ "WELL \ �I i NEW 1000 GALL6N' LASTIC TANK ELL �� % I � / TC C II / U_ .f( / CO — — ECH TOP OF MH cot TC01 C04 COS CO6 MT C07 ''OF i,i CO2 CoTCO2 r ♦♦�P�.,,,............ �gs4�i i1lTER F/B2C ORG I 49 TH ..' �I aoo cAua °`" POb PLASTK TANK/ ali cu/Sm ��',MICHAEL N. ANDERSOW �! No. CE 9469 ' 84 N0 WATER O 84 JUIY 2021 SEPTIC SECTION TEST HOLE # 2 ..1 .�♦ N.T.S. /�,%� tJ�S Certified Drilling Log DOC CO dba BILL & C.OLE LLIVAPM1 WATER WELLS el-P P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Erik Hjelm ADDRESS: LEGAL DESCRIPTION Wagner Lot 2 DATE: 7-7-22 PERMIT NUMBER: OSP221169 DATE OF ISSUE: 6-28-22 TAX IDENTIFICATION NUMBER 01709289000 Is well located at approved permit location: ❑Yes ❑No Method of Drilling: ®air rotary Elcable tool Depth of Well: 200' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 78 feet Liner type 180' of 4.5" PVC Static Water Level: 68 feet Recovery Rate 5 ® gpm gph Method of Testing Air Well Intake Opening Type: ❑ open end ®open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Volume: Depth: from feet, to feet Well Disinfected Upon Completion: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 Casing Stickup 2 4 Overburden 4 72 Tight Silty Sand & Gravel 72 150 Bedrock Gray 150 200 Bedrock Broken Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. Well Drilling Permit Number: SW Date of Issue Parcel Identification Number: 6 1 -7 o 2- Legal Description Property Owner Name & Address ,01 lk, Pump Installation Date: 17 ZL Pump Intake Depth Below Top of Well Casing. 1-7 j feet Pump manufacturer's Name: Pump Model: 0 7 Z-S � Pump Size: hp Pitless Adapter Burial Depth: feet Pitless Adapter Installer: L'-' Disinfected Upon Completion? 0 yes F-1 no Method of Disinfection: Chlorine 50 PPM -omments: Pitless Manufacturer: WAC'� :lump Installers Name: Sullivan Water Wells attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. ��/�U�� T�!| HOUSE DETAIL r�/� COVERED DEC� Tc�cir1 -^^` '' ~� S 85r55.01. E 368.21.- --- _ ACCESS EASEMENT—\ (Doc. No. 2022-007823-0) EXISTING RESIDENCE Ln PLOT PLAN AS BUILT SCALE - . . 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone I hereby certify that I have surveyed the following described property: Anchorage Recording District, Alaska, and that the Improvements situated thereon I r within the properiy lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed .. ....................... . .. -;,01. 4-.KENNET� G. LANG premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the Day of at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, I 1�1==,��-§i�:, covenants, or restrictions which do not appear on the recorded subdivision plot. AECC963 GRID SW 3038 - Project No. DETAIL EE HOUSE 60.5' D4ETAIL I SEE HOUSE 38.3' SEE HOUSE , DETAIL _ � m 74.1' �� vo 8�� | 57,447 S.F. | | | / N 8755'19"N 192. Unmubdhidwd Poroo| 18 � 0 10 25 50 loc MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP221169 Work Type: WellSeptic Initial Tax Code Number: 01709289000 Site Legal Address: WAGNER LT 2 G:3038 Site Mailing Address: Owner: HJELM ERIK Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft 11101 o� U n Department Total Bedrooms: 6/28/2022 6/28/2023 57447 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 2 Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: e i 6Z 3 MUNICIPALITY OF Development Services Department" On -Site Water & Wastewater Section Parcel I.D. 017-092-89 ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) HJELM Mailing address 14551 GOLDENVIEW DR, ANCH AK Site address SAME Legal description (Sub'd., Block & Lot) WAGNER SUBD. LT 2 Day phone Legal description (Township, Range & Section) Lot Size 57447 Sq. Ft. Number of Bedrooms 4 Phone: 907-343-7904 Fax: 907-343-7997 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial El Single Family (SF) 0 (w/wo ADU) Septic Tank F Upgrade ElDuplex (D) ElHolding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well X Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: g 2-0 Date of Payment: 5131' 2 O �2 a Receipt Number: OS 1 531, Permit No. OS 02111 6q Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc June 1, 2022 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Well and Septic Permit Legal: Wagner Subd. Lot 2 To Whom it may concern: This is a request for a well and septic permit on the above referenced lot. Two test holes were done for the subdivision and found poorly graded gravels (GM/SM) for the entire depth with no water during or after the 7 day monitoring period. The new tank will be a 1000 gallon plastic tank with a 20 inch riser. Both perc tests were in the 20 minute per inch range. A deep trench has been designed for the new leach field the same as the old field on lot 1. The lot slopes to the west very gently at about 5 to 6 percent but the leach field is flat, no slope. This new system will not impact any of the surrounding neighbors. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221169, Deb Wockenfuss, 06/28/22 1"=100'-GOLDEN VIEW DRIVE-SCALE: DJRDRAWN: DATE: WAGNER Subd, LOTS 2 Anchorage, Alaska ERIK HJELM 5/28/2022 100' CREEK OFF-SET WELL SEPTIC SEPTIC SEPTICSEPTIC SMALL CREEK LOT 2 WELL WELL WELL WELL SEPTIC FIELD SECTION DESIGN CRITERIA: 7.0' EFFECTIVE 3 BDRM X 150 = 450 GPD SOILS = 450/0.6 = 750 SQ FT REQ'D 7500/2(7.0) = 54' 2.0' WIDE 54' LONG (1) TRENCH 8' DEEP -16' (TH#2) -1' GM W/ SM LAYERS OR 2.0'2.0' -8' -1.0 MOUND OVER FILTER FABRIC & SEWER ROCK 3,3( GRADE INSULATION TH#1 PROPOSED NEW WELL TH#2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221169, Deb Wockenfuss, 06/28/22 DRIVEWAY 1"=50' PROPERTY LINE PROPERTY LINE EXISTING WELL SCALE: DJRDRAWN: DATE: WAGNER Subd, LOTS 2 Anchorage, Alaska ERIK HJELM 5/28/2022 DCOTCO MT 2' CONTOURS NEW 1000 GALLON PLASTIC TANK W/ 20" RISER FCO TH#1 CO CO 100' CREEK OFFSET GENERAL SLOPE DIRECTION PROPOSED NEW WELL Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221169, Deb Wockenfuss, 06/28/22 2022-007823-0 S Recording District 301 Anchorage A 02/2412022 12:23 PM Page 1 of 2 IIIIIIIIIIIIIIIIIhIkIIIfl�II�IIIIIIIIIAIIIIIIIIIIIIIIllll81111111111 GRANT OF WATER WELL ACCESS EASEMENT WHEREAS Erik Hjelm is the owner of Lot 1 and Lot 2, Wagner Subdivision, recorded as Plat Number '17 0 2 Z ` 7 , Anchorage Recording District, Third Judicial District, State of Alaska and WHEREAS he owns a home located on Lot 1 of said subdivision and WHEREAS the well for Lot 1 is located on Lot 2, THEREFORE now and forevermore the following is granted: A permanent access easement to the well on Lot 2 for the benefit of Lot 1 as shown on Attachment A included herewith is hereby granted to the present and all future owners, heirs and assigns of said Lot 1. The easement shall be effective upon recording of this document with the District Recorder, Third Judicial District, State of Alaska. IN WITNES WHEREOF, Erik Hjelm caused this document to be executed: E jelm, Owner TRAVIS wtLs0 Notary Public Stale of Alaska My Commission Expires Mar S. 2022 STATE OF ALASKA ) SS THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 0 day of �e u , 2022 For Erik Hjelm Notary Public In And For Alaska My commission expires $Zo2z, After recording return to: Erik Hjelm 14551 Golden View Drive Anchorage, Alaska 99516 ATTACHMENT 9$A" WATER WELL ACCESS EASEMENT Lots 1 & 2 = WAGNER SUBDIVISION " TRACT 1 w 00 orl: o WELL 47.76' 10' WELL ACCESS S 8957'18"E EASEMENT S 00'01'36"E 10.00' N 89'57'18"W 47.76' Lot 1 Prepared by Lang & Assoc Professional,L& 11500 Daryl Avenue Anchorage, Alaska 99 (907) 522-6476 0 (907) 522-4625 Fox tes, inc. Surveyors 15-3049 Jonathan langsurvey.c e) State of Alaska AECC963 Page 2 of 2 2022 —007823-0 Municipality of Anchorage �••t t g'� ; Development Services Departmentj- On-Site Water and Wastewater Section rte•' .'7 t, iv •49 T_ ' �a 4700 Elmore St. H P0.1 P.O. Box 196650 Anchorage, AK 99519-6650 ......... ... , W W W. m uni.OEg1onsite r (907) 343-7904 •.' • • • • • • • .... . illi Vo•• MICHAEL N..AAN'DCRSON •r9^ F Soils Log - Percolation Test Performed For: G- /� / r'l Yt' !l � C' � 1N' Dale Performed, Legal Description: I/V (A 9 i%I ec "%' R Zi Township, Range, Section: _ Py'wp®S4•cL W aghrV- Slope �i- Z Depth (Feet) 2- 3-1 -3 4- 7- 6- k� 9 Srt/r r--'( 11 13- �+0 7r n" . 16- 17- 18- 19- 20 - COMMENTS WAS GROUND WATER ENCOUNTERED? f 5 IF YES, AT WHAT DEPTH? L Depth W Water After D Monitoring? to E Date: 2 l F, ' """"^ —.• ' /TJ VEKU HULL DIAMETER (D �• JEST RUN BETWEEN _i FT AND r- FT k' -s. i t91 Arrn,I PERFORMED BY: t A /qVt I CERTIFY THAT THIS TESTWA PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: / ki Z Municipality of Anchorage Zf IRE °3R'$„ A ) Development Services Department ° A=� i•' B On -Site Water and Wastewater Section s* �.° � T' , • a,� 4700 Elmore St. ,,+ r-' ° .„, `)T t i P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite ........ .`.. (907)343-7904 F' C C 5'4 '9 +- Soil's/ Log -Percolation Test � <;� � ......•° �,:'- Performed For: f t le, Ft ; � V. Date Performed: Legal Description: 'Z Township, Range, Section: t% � 2 5- 11 1/ COMMENTS Ov'1-0% ° G7 A4/W Li /K4 bNy7v�,` ��/T DYINr Site Plan WAS GROUND WATER ENCOUNTERED? 7\1 a S IF YES, AT WHAT DEPTH? L Depth to Water After O Mwitorin9? E � P Date:: 7. Reading Date Gross Time Net Time Depth to Water Net Drop ft 2f 21 S !r 2, c u �- PERCOLATION RATE ( 'Z, (vtlnut .s h) PERC HOLE DIAMETER C_ TEST RUN BETWEEN 'L_ FT AND_FT Y PERFORMED BY: _ (, i/ /'� I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: