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HUFFMAN HIGHLANDS LT 3
Onsite File Huffman Highlands Lot 3 #017-451-32 (Formerly T12N R3W Sec 27 PTN NE4) Nov_21.2022 02:51 PM Anchorage Well & Pump Service Inc 9072430742 #3442 P 1/ 1 MUNICIPALITY OF ANCHORAGE Development Services Department ; Rhone. 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Date of Issue: - - Parcel Identification Number: 017 _ 451 7_320 �..� Legal Description Block Lot Property Owner Name & Address: HULTOUIST HOMES INC HUFFMAN HIGHANDS 3 12570 OLD SEWARD HWY SSTE 204 ANCHORAGE AK 99595 11 Pump Installation Date: 11 - 29 - 2022 Pump Intake Depth Below Top of Well Casing: 460 Pump Manufacturer's Name: RED JACKET Pump Model; L7P4EMGS-051 M10412-1000311 IPump Size: 1 .50 hp feet Pitless Adapter Burial Depth: 12 feet Pitless Adapter Manufacturer's Nems: MARTIN ON II Pitless Adapter Installer: Well Disinfected Upon Completion? X Yes ❑ No Method of Disinfection: PELLETS I Comments: Pump Installer Name: _ ANCHORAGE WELL & PUMP SERVICE Company: 76401 KING STREET ANCHORAGE, AK 99518 Mailing Address: 907-243-0740 City: State: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221137 PID Number: 017-451-P3o� Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ D Duplex p (D) El Two Single Family Project: 01 New El Upgrade Name Hultquist Homes ABSORPTION FIELD ❑ Deep Trench © Wide Trench ❑ Bed ❑ Mound ❑ Other Site Address 5590 Huffman Road Phone Number of Bedrooms 4 Soil Rating Total depth from original grade 1.2 GPD/SF 6.0 Ft. Depth to pipe invert from original grade Gravel depth beneath pipe LEGAL DESCRIPTION— _ Subdivision Huffman Highlands Block Lot 3 2.0 Ft. 4.0 Ft. Fill added above original grade 2.0 Ft. Gravel length 50.0 Ft. Township - Range - Sectior. Gravel width 5.0 Ft, Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 500 FtZ Number of trenches 1 Dist. between trenches n/a Ft. Well 112.0 109.9 25'+ TANK ❑ Septic pQ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ 100'+ Anchorage Tank 1250 Gal. Material Number of compartments Lot Line 61.9 15.2 NA HDPE 2 Foundation 15.6 55.6 LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer Little Dipper PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield 3034 CO/MT3034 Inspector PES BENCH MARK (Assumed elevation) 100.0 ft Inspdection 1S` 11/16/22 2nd 11/17/22 Location and description 3'd 11/18/22 4"' 11/23/22 Corner of adjacent deck ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF '"°'•• 49 M .... .. .. ....... $®vin aniriop® •, CE 8149 °° 12/6/22,.•. Septic System Approved Dater /22 Note: this approval does not include well permit requirements. rRPnFm,?i1 m LU I 4+ -,DESIGN PARAMETERS/ ,�- " I " � SEPTIC SYSTEM 'NO. BEDROOM: 4(600 gpd) TANK SIZE: 1250gal PERC RATE: 2.9 MPI / SOIL RATING: 1.2 GPD/SF / I AREA RQD: 500 SF / WELL P SYS. TYPE: 5 -WIDE 4.0' ED i'50 / v RF: 0.50 MIN LENGTH: 50.01-F USE: 50.OLFx5.0'Wx4.0'E.D.,6.5' TD TOTAL AREA: 500 SF A B FC 4.6 0.0 T1 17.9 36.5 T2 22.3 40.8 DC 25.4 42.7 Cl 61.4 59.8 M 1 58.8 57.8 C2 65.1 80.0 M2 66.7 1 81.9 50.OLFx5.0'Wx4.0'E.D.,6.5' TD TOTAL AREA: 500 SF WELL TURF I 'y RESERVE SEPTIC SYSTEM(NIC) / DRIVEWA>t NO. BEDROOM: 4(600 gpd)E TANK SIZE: 1500g ( I ADVANTEX PERC RATE: 1-5 MPI 1 w ) SOIL RATING: 6.0 GPD/SF w I AREA RQD: 100 SF SYS. TYPE: WIDE 0.5'ED MIN LENGTH: 20 LF 4BDRM 1-Q9 9_ w l =50 Lu USE: \ 20LFx5.0'WxO.5' E.D., 6.0' TD 40 TOTAL AREA: 100 SF \ ' \ A INSTALLED 1250aal SEPTIC TANK INSTALLED FC BEFORE TANK AND DC AFTER TANK SEPTIC L01 ,7 t AREA I .I \ "I___ NOTES: RECORD DRAWING 50.01-F x 5.0'W x 4.0'ED x 6.5'TD ADD 1.0' FILLER OR 2.0" RI INSTALLED MT AND CO AT EACH END PANNONE EAG SVCJ LLC (C.1. 1088) - ?'r F LOT FC � �J T 1 -T2_ -- 15.2 -DC 1 Tuz - '\I FROM SD `M1 REPORT 5,4 �- f 1 BASED ON CATIII(NIC) 221.2 ' 20LFx5.0'WxO.5'E.D. HUFFMAN HIGHLANDS SUBDIVISION L3 DRAWN mw.m HULTQUIST HOMES m® 5550 HUFFMAN ROAD SITE PLAN ANCAHORGE, AK L t 4.2?, Il .r a .� REVISION'S ven an o 149 2/0)22. 12/6/2022 CALE 1" = 50' J.D. tJ0 017-451-18 ERIMIT .+0. OSP221137 NEET 2OF3 Alpine Drilling & Enterprises t Well Log permit Number: 9SW221137 Date of Issue: 5-19-22 Parcel Identification Number: 01745 f 18000 Date Started: 9-27-22 Date Completed: 9-30-22-22 is well located at approved pe.miit location? x Yes ❑ No Legal Deseription: Huffman Highlands dot 3 Property owner Name & Address: Hultquist Homes Borehole Data: Depth (ft) Soil Typo, Thicl<iiess & W!ItCr Strata From To stick-up silt gravelly silt silt gravelly silt silt gravelly silt bedrock 0 2 11 19 71 89 168 228 WVATER QUALITY TESTING Coftm . Coi/100mL Y motes 2 0 mg/L Arm* ug/L •:� 2aZ'L 3q3 � � 2 11 19 71 89 168 228 526 Method of Drilling x air rotary ❑ cable tool Casing type: steel Wail Thickness: ?50 inches Diameter: 6 inches Depth: 28 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from t,*round level): 2�feet Pumping level: 520 feet after 12 hours pumping 3 gpm Recovery Rate: 3 gpm Method of Testing: gftj li Well intake Opening Type: open End x open Hole Screened Stal. t _ feet Stopped feet Perforations Start feet Stopped - feet grout Type: ben d6 �� voIume: Zbzs 1')ent11: start 0 feet Ston aed�eet Pump: Intake Depth feet Pump size _ hp Fraud Name Well Disinfected Upon CoMpletion? x Yes 0 No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises ,ICU Box 110496 Anchorage AK 99511 Well .Drilling Permit Number: Parcel Identification Number: 017_45132 Date of Issue: _ Legal Description Plock Lot Property Owner Name & Address: HULTQUIST HOMES INC HUFFMAN HIGHANDS 3 12570 OLD SEWARD HWY SSTE 204 ANCHORAGE AK 99515 Pump Installation Date: 11 _ 21 - 2022 Pump Intake Depth Below Top of Well Casing: 460 feet Pump Manufacturer's Name: RED JACKET Pump Model: L7P4EMGS-05 / M10412-10OC311 Pump Size: 1.50 lip PitIess Adapter Burial Depth: 12 feet PitIess Adapter Manufacturer's Name: MARTINSON Pitless Adapter Installer: Well Disinfected Upon Completion? !* Yes L�1. No Method of Disinfection: PELLETS Comments: Pump Installer Name: _ ANCHORAGE WELL & PUMP SERVICE Company: 7640 KING STREET ANCHORAGE, AK 99518 Mailing Address: 907-243-0740 City: State: Zip: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. ,OS �P 1ofavv dQ4 -------- .00'OOZ 3„ 00, LO.00N ----- ------- o O • i— ' E � O j" Im o I ;.n 0 p 3„OO, 4O.00N J 3: -C) -------- .00'OOZ 3„ 00, LO.00N ----- ------- o C) Q4 N (D 'L C ;.n 0 p 3„OO, 4O.00N J B Oo °- -- - -- -- ------------------------- z O 0�l U7 4 y N Q �y '� 06 � i i � N �1 d- N N o ,Cd K'O G9 3„OO, 4O.00N J -- - -- -- ------------------------- -------------------- y � i i �1 d- v— w a� E I N N a m U) a W J;_ a) N � CN W m y 00 C O I r— oc) W u 00 Q o, CO � o --- ------------- ------------------------------ r ,L2'022 M. 99,20 -00N N J � J MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program pOBox 1866s 470Elmore Road Anchorage, Alaska auo1yVonn po '7904 Fax: (eo,)34o-7oo7 nnp://vwnw.mun/.urg/onmte IiIiiijililli Permit Number: USP221137 Work Type: VV*0epUo|nitia} Tax Code Number: 01745118000 Site Legal Address: Tl2NR3VVSEC 27PTNNE1/4 G2887 Site Mailing Address: 565UHuffman RD, Anchorage Owner: HULTOU|STHDMES Design Engineer: PANNONE ENGINEERING SERVICES This permit iofor the construction of: b� Disposal Field 10Septic Tank [1Holding Tank [] Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 5NO/2O22 5/19/2023 280600 RI Private Well [] Water Storage All construction shall beinaccordance with: 1. The attached approved design. 2. All requirements specified inAnchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18/AC80) 3. The wastewater code requires inspections during the installation. The engineer shall notifyth�Development Services Depo�mentper AMC 1585.Provide not�nationbyxaUing(QO7)343'7QO4(24/' 4' From October 15toApril 1S' a subsurface soil absorption system under construction during freezing weather shall beeither: ` a. Opened and Closed onthe same day, or b. Covered, sealed, and heated tnprevent freezing ^ The Engineer isrequired to do an additional percolation test prior to construction of theseptic field. Please submit stamped andnignedresults with the As -built Inspection Report. |fthe results require adesign � change,construction of the system will stop pending On -Site review and approval. Received 13` Issued By: Date: rd � v u) 1� U5H MUNMIPALITY OF ANCHORAGE Community Development Department` Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-451-118 Property owner(s) Hultquist Homes Day phone Mailing address 12570 Old Seward Hwy, Anchorage, AK 99515 Site address Legal description (Sub'd., Block & Lot) Huffman Highlands L3 P 2 k q3w 527 PTN Legal description (Township, Range & Section) N �i Lot Size 88,704 SG. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption FieldX❑ Initial 0 Single Family (SF) X❑ Septic Tank X❑ Upgrade ❑ (w/wo ADU) Holding Tank El . ❑ Renewal El Duplex (D) Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / 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: -§/77 Waiver Fees: Date of Payment: 5/1 q1, 2 2 Date of Payment: Receipt Number: 0 7/ 3 7 G Receipt Number: P Permit No. _0 /-� ZZ I I 3 % Waiver No. Permit App_-'- :- ,_...:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221137, Deb Wockenfuss, 05/19/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221137, Deb Wockenfuss, 05/19/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221137, Deb Wockenfuss, 05/19/22 MUNICIPALITY OF ANCHORAGE Development Services Department t 4 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-451-32 Legal description Huffman Highlands Lot 3' Site address 5580 Huffman Rd Current property owner(s) Hulquist Expiration Date: 3-19-2023 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: I *Z -I 22 By: `^'" Original Certificate Date: . This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE Development Services Department, Phone: 907-343-7904 On -Site Water & Wastewater Section ' Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 017-451_9.3R Complete legal description Huffman Highlands L3 / Location (site address) 5580 Huffman Rd Current property owner(s) Hultquist Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Date of Payment COSA # Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 Legal Description: Huffman Highlands L3 /' _.. . Parcel ID: 017-451 tT If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA 011 Well log is filed with Onsite (or attached) Date drilled /Total depth ft Cased to ,�_ft 0 Sanitary seal is functioning correctly © Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA new system Static water level at beginning of test c'23K) ft. Comments ' B. TANK DATA Measured operating fluid level in septic tank new Date of pumping new ❑ Required maintenance completed, if AWWTS Comments: STEP tank D. ABSORPTION FIELD DATA Which system tested (date installed) 11/16/22 0 ALL standpipes present per record drawing Total measured depth from grade 8 ft (max) Measured depth to pipe invert from grade a ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. Q Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 3 gpm Water storage tank volume gallons 2infected for coliform test? � Yes El No Coliform bacteria is Negative Nitrate a7 -O`( mg/L ❑ Nitrate less than MRL (ND) Arsenic (o :") �/ ug/L ❑ Arsenic less than MRL (ND) Collected by PES Date 12/5/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station 0 years Lift station material HDPE Comments: Adequacy test date new Results Q Pass Fluid depth prior to test _ Water added gal New fluid depth in Elapsed time min Final fluid depth in in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 48 in Effective depth used 0 in Effective depth remaining 48 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ©Yes if No ft Q Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' El Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft Yes if No ft Community Sewer Main > 75' Yes if No ft Manure/Animal Excreta Storage > 100' rim] Yes if No _ ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' M Yes if No ft Surface Wafer > 100' ©Yes if No Tank to Property Line > 5' Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Yes if No ft Private Wells > 100' Yes if No Water Main > 10' 0 Yes if No ft Community Wells > 200' M Yes if No Water Service Line > 10' E Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ft ft ft ft G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Pannone Engineering Services Enbineer's Printed Name Steven R Pannone P.E., F. ASCE COSA Checklist—June 2022 Phone 907-745-8200 Date 2212® eleven F.. , onnorie .r o? 4-9 �L/sl� •' • • ..... .••rte' •�