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HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 10H LT 32ARabbit Creek V iew &Heights Block I OH Lot 32A #020-571-58 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171285 PID Number: 020-571-58 Dwelling: Fial Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Nil Upgrade Name CHRISTOPHER DEMIENTIEFF ABSORPTION FIELD ❑Deep Trench ❑Wide Trench E] Bed ❑Mound Site Address 17020 JACQUELINE CIR, ANCHORAGE AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 2 6.0 GPD/SF 1.75 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.25 Ft, Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot RCVH 10H 32A Fill added above original grade 4.5 FL Gravel length 20 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES ToI Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 100 Ft2 1 n/a Ft. Well f ( 100'+ 100'+( n/a 25'+ TANK ❑ Septic [IS.T.E.P. E] Holding E] Other Manufacturer Capacity Surface Water 100'+ 100'+ n/a Gal. Material Number of compartments i Lot Line 10'+ 5'+ n/a NA Foundation 10'+ 10'+ n/a LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank Tank to 3034 Installer drainfield A+ Home Services Draintield 3034 CO/MT3034 inspector Pannone Engineering BENCH MARK (Assumed elevation) 120 ft Inspection �s 20171006 20171007 Location and description 2nd 3`d 20201025 4'h HOUSE TRIM ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date E OF A�qS� � T .. Scev n R. Pannone Septic Systema ��'� 149Approved&M#Date Note: this approval does not include well permit requirements.��'���'�'��� k.— vo,U4110) �K:CD Nrr*ic�ov� _ z CC) 0 �� C nm v—{m °oz mvnovmi< roo ozZo=D m C� o c O O m CC/'); z o zm o ;7 'C7 m o 0 IT! 0 D 0 0 0 —I N N C � In D ()) -u --i z -00 o Om ,.� z��-;UZ. - D D X0 r y r n D C� W zcn" M+ >� O 1J D DNO ���C Gi yr* -1 mo�z W 1, N m0 �o N 0-D� 0 - x cn NO -'j C:) .. nD o m W u) m c) Ga cn `� -q ;d o T z — Q 0 D _ U) —I / o � tI f > m \ x � cf) / I -0z 0 Do O / i z m m D s -% x x o Frl o —I N N C � In D ()) -u --i z -00 o Om ,.� z��-;UZ. - D D X0 r y r n D C� W zcn" M+ >� O 1J D DNO ���C Gi yr* -1 mo�z W z .. O rrI N m0 �o N 0-D� - x cn NO -'j C:) .. nD o m W r*i 0 0 41 -0 Ga cn `� -q ;d o T z — Q 0 D _ U) —I Z-0 m m \ x � cf) cD Do TI - o> x o� �cn_ti I� oar 0 m / 1 U) o\ z r M� / \\ (U zo< x C) K C� 0 RECORD DRAWING (N W N N < W W W Ga PERMIT NO. OSP171285 co m/ SHEET 2 of 2 p cD Do O 00 (A CANL Y o Frl o Frl PcD Oo \N��y o � / TI - o> x o� �cn_ti I� oar 0 m / 1 U) o\ z r M� / \\ (U zo< x co 01 oZ/ \ m F— F- LD m NOTES: C) K C� 0 RECORD DRAWING (N W N N < W W W Ga PERMIT NO. OSP171285 41w:4�rjP, SHEET 2 of 2 p cD Do O �I (A CANL Wrn PcD Oo co 01 oZ/ \ m F— F- LD m NOTES: PANNONE ENG SVC LLC (C.1. 1088) P.O. BOX 1807 PALMER, AK 99645 PHONE 907} 745-8200 FAX 907) 745-8201 Ai �P•`' . . ••$} an .0 CE 8149 REVISIONS DATE 20201104 RECORD DRAWING RV1:20216223 RABBIT CREEK VIEW & HEIGHTS,7n'. B10H L32A CHRISTOPHER DEMIENTIEFF 17020 JACQUELINE CIRCLE ANCHORAGE, AK 99516 SCREE 1" = 40' P.I.D. NO 020-571-58 DRAWN JRL SITE PLAN PERMIT NO. OSP171285 SHEET 2 of 2 F)c , -:;292005-61-Sp Ai oh 8,, Pump &;n 20724307,12 MUNICIPALITY OF ANCHORAGE n=wLWf- - rummm Dev I pment Serilces Depa Phone: 9k -3434"904 Cn-,Sito VN/ater & VVas�ewater "'Dection Fax: 907-34:3-7997 Pump InstaHation Log Wall Drilling Pprri:it Number: Mite of Issce: Bloch j Lot Properti ,�vn 0er.,Nanic LIZ- kdorew OH S2A Pon)[) L-Isia6ation f4e, PumpDepth Bt!uw +p of Cilsing: feet Pulnu Name: 5 Pump Model: lluvip Siz"; FA J) Pitless.,tdapter Burial Dep'll: tvt Pithess Adwer Weli Disinfected "'pon Cmiqifeliorll Yes 1", 7NIQ Method A'Disftifectioq: ,I culliments: Pimp llnstaller.Na rine.: Company: Mai%ng Address: O."v: staft:: I Zip: 41tteritimi: Thi pump oism1h--r shall })rovidk, a pump instalk,.tion lo,-, to Or. site Nvith;Ui 30 d;ays Oj punip hisliella-i(mi. IO'60-r i ","°""'°Q, MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program S.; i„r PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax: (907)343-7997 - .-4101111114. r. T l http:!lwww.muni.orglonsite I ill All' ter. )„•h rrtru.•nt On-Site Wastewater Disposal System Permit Permit Number: OSP171285 Effective Date: 9/29/2017 Work Type: Septic Upgrade Expiration Date: 9/29/2018 Tax Code Number: 02057158000 Site Legal Address: RABBIT CREEK VIEW& HEIGHTS BLK 10H LT 32A G:3340 Site Mailing Address: 17020 JACQUELINE CIR, Anchorage Owner: DEMIENTIEFF AIMEE E & Lot Size in Sq Ft: 23779 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: IZ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 EotSpecial Provisions: . Drainfield shall follow design parameters for primary drainfield installed in 2005 (attached), including cleanouts n each end of field and monitoring tube. . Ifdiverter valve is installed, it shall be shown on record drawings.A `i �. Received By: a _ 1p Date: �� Z . ' ' 9�.�or7 Issued By: (f�,� Date: MUNICIPALITY OF ANCHORAG die- 'Os. '} Community Development Department t'L Phone: 9'..X3'4 . /', Development Services Division ��-�� Fax: •I. '34aff* 0 On-Site Water& Wastewater Program 4 SEP 2411 2- . - ON-SITE ON-SITE SEWERM/ELL PERMIT APPLICATION ! 1t ti Parcel I.D. 0201 1-58 Property owner(s) Aimee & Christopher Demientieff Day phone Mailing address 17020 Jacqueline Circle, Anchorage, AK 99516 Site address 17020 Jacqueline Circle Legal description (Sub'd., Block & Lot) Rabbit Creek View & Heights, Block 10H, Lot 32A Legal description (Township, Range & Section) Lot Size 23,779 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑ Upgrade ❑X Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (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: 6706) Waiver Fees: Date of Payment: RIai01r' Date of Payment: Receipt Number: OciaZ. Z? Receipt Number: Permit No. OsP/ -265 Waiver No. Permit App_ - • :: ..c: Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com September 25, 2017 Subject: Wastewater Permit to Install Reserve System Permit Number: SW050194 Legal Description: Rabbit Creek View & Heights, Block 10H, Lot 32A This is a request for a permit to install the reserve field for the above mentioned lot according to the original specs in the permitted location. All site conditions remain the same. 1. Reserve Field Design. a. The reserve field will be installed per the specs in permit number: SW050194, issued June 29, 2005 2. Surface Water: There is no surface water within 100 feet of the existing septic system. The proposed upgrade will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: The topography in the area generally slopes from the southwest to the northeast at approximately 20% in the area of the proposed reserve field installation. 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, ' . ..... .. �';,.♦ CO • '61111Mfr 0- Stevenn P Pannone/di annone/i!i • Steven R. Pannone, P.E. Owner/Civil Engineer Attachments Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 i LOT 34A LOT 33A /439 � (C\ 5 61, \C2., �d� � r l `r ' d0 G 0 AdvanTex AX-20 w/ • 1500 gal steel tank -k 1 Rese '- .rainfieldSite - �$g cr i r 32�\ �.4 WELLo SI'' .,•/ t P614.""" col T <#44�� * Vail W til L�HOMFDC01 Q o 4111`..... CO2 � oS ` B V V12 T \• LOT 32A Qra� 06+ •,\ \ tir� ar •17i9 off` a1 ' 43 0 ` .54' 6'6,. •`\ TH#2 .� N ,fig °-•,� \\ Curtain Drain N �a� \ %\ ` �' r . A B co \ DCO1 20.0 11.8 19, DCO2 19.8 12.4 AS-BUILT ST1 19.3 12.9 4 MH 19.4 21.0 CO1 30.1 26.3 CO2 49.1 39.1 Based upon a survey by Kevin Smith, MT1 48.5 38.2 LS-9234, June 4,2006 Rabbit Creek Heights, Bik 10H, Lot 32A �:Q A` Record Drawing of Septic Upgrade �,•4 ..• • •• .••,10 46. Christoper Demientieff . ,�,, Parcel ID: 020-113-57 Watkins Engineering, Inc. " 49rr �V; ' Permit No.SW050194 fa4.0, e Cindy W. Ellis, PEP.O. Box 110443 eta:, •e .w105r • i June 5, 2007 Anchorage,Alaska 99511-0443 Scale 1 Inch .- 30 ft Phone: (907 ) 349-1851, Fax (907) 349-1934 ��',4gT:��-b�✓' • Proposed • 5'wide Trench r — —" + 4 M TH#4 minimumsoil cover ..----r fabric&insulation /! i -0.6 rat 1.25" PVC w/0.25"holes, 18"OC ! Peal -1.0— �! 0.5'sewer rock n� 9 -2.0 — f. 1 5clean sand �a5e�e!/ �C�i SM -3.5 573— watervel _ _ _ �4 ../ / ` �, on 5-5 ! / / TH#1 i SM NTS ! 30 ft TH + �`QOQe - / \ 1 radii shown/ -12.5 BOH K�o�to! ! e Water©5.73' �oc� ! , MT \°t111 \ / on 5-5-05 •41` ! ��, f?-1 ` �� ` / c�t�� - \ Proposed Well O ! / eb co I / Location 70' < / 4��0��42 ` \ MT 20% & c7. \ Slope i 4 €o� \ 4 T #3 / eta' ,_/ \\ • V A Future site: . \\ / 4BR � / l House \� \ \' ' \ 1\� TH#2 0 . .../\ Curtain•Drain ` A\v)- DESIGN DETAILS \ N. 4 BR, 600 GPD \ 6.0 d/ft2 �\ Curtain Drain Requires es 100 ft2 \ installed on 1 - q _ 6-10-05. 5-Wide Trench 8'deep max. 0.5 ft effective AdvanTex Septic System 20 ft long Drainfield: 0.5'effective; 100 ft2 Excavate to-3.5', backfill wl sand to-1.5 ft, Rabbit Creek Heights, BIk 10, Lot 32A �� OF q s.,, Proposed Well &Septic Development Watkins Engineering, Inc. i,�q.,.- �i •.$s' ''', Chris Demientieff c',... -49 rH •, •7 Parcel ID: 020-571-58 `, �t�t "�� . Cindy W. Ellis, RE P.O. Box 110443 `4= cnr W. n.s June 27, 2005 Anchorage, Alaska 99511-0443 Scale 1' - 30' Phone: (907) 349-1851, Fax: (907) 349-1934 •. S Municipality of Anchorage `'' •` *.:F 4'911* /-'-- Development Services Department • Buildlrg Safety Division %.a ,, �/'� �---- (111 +1 On-Site Water and Wastewater Program '�• —•• GCI.L>;IQ +vimAnchorage, 9 4705 South r a aw St. `` C' cfy W. Ellis �� P.O. Box 196650 Anchorage,AK 99519-6650 , ��: \\ www.munl.o rorsite (907)343-7904 cD., CE-10577 :-*4C3 Soils Log - Percolation Test • 71WO Performed For: Chris Demientieff Date Performed: 11-24-04 Legal Description: Rabbit Creek Heights,Blk 10, Lot 32 Township,Range,Section: Slope Site Plan Depth ,-___ ^_— l (Feel) 1- fell 2 2.0 _ 4 3- 1 ' ' TI4Liti"4 , _ 4- Sly Or- 5- 1 l s r 7 , 8- WAS GROUND WATER 9- ENCOUNTERED? YES s 10- IF YES,AT WHAT DEPTH? 6 L Depth to WatarArysr D /* P 11- Montto-Inp? •7 12- Date:f-fi-D.5 13- } 12 .5 , 14- Reading Date Gross Time Nei Time 1 Depth to Water Not Drop 15- 1 11/24/04 12:55 : 0 6 - 16- 2 1:05 10 1.125 4.875 ' 17- 3 1:16 10 2.25 3.75 • 18- 4 1:27 10 2.25 3.75 1 19- 5 1:38 10 2.25 3.75 20- 6 1:49 10 2.25 3.75 7 2:00 10 2.25 3.75 r PERCOLATION RATE 2.7 (r.-.naI.5rw') PERC HOLE DIAMETER e TEST RUN BETWEEN-3.5 FT AND 4 0 FT COMMENTS 1 hr presoak prior to test. e PERFORMED BY: Cindy Ems&James Sa'as I ash -/Qr CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GU1D INES IN EFFECT ON THIS DATE. DATE: .11,2I/- Municipality of Anchorage Development Services Department BDllding Safety Division ' Onsite Water and Wastewater Program, 4700 Bragaw St P.O. Box 196650 Anchorage. AK 9951 M50 Page i of www.cl.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO50194 PID Number. 020-571-58 RMM Christopher Demientieff Wastewater System: 0 New ❑ Upgrade Baa+.. 17020 Jacqueline Cir, Anchorage 99516 ABSORPTION FIELD PT 1 b 01 agOomF 4 O DFeF TIWO !1 &I Tm O Bea C Mart %:. O Derr Soil Re% 7aM 0MdlumldnOWV�' ' LEGAL DESCRIPTION 6.0 AdvanTex cvmFP 1.5 Ft. - eitl 10H L0132A RabbtCreekHeghts Dwmbovesomaea"CrW*lr� D".Md"Mti i�, 0.62 0.62 Ft. n To.WV RVW 5«aan Faended Feoe W"VwF " Cm Lavm' 4.6 Fl. 20 . Ft. Well: Q New ❑ Upgrade CM?real. '* EdbMF. 1 "r Del«Ke EFIwMr, Ylwt 5 Ft. FL CWwK'am, lPRYele. A 6.% PRIVATE Taut DepenCuedb 110 98 TaMeaeaplbn«w 100 RVF 101 W ASTM D3034/ F810 FI. FT Fp Die« Hefty Drilling Do* D"Ma 6129/2005 suoo WM« L« 35 FL 11 r A+Home Services D«. ew.r.a 8/1/2005 r.ap"'° sM « Ce«v Hw" "°°""'°"'° TANK 7 caM NA Ft. 2 FL SEPARATION DISTANCES O Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Fmm Septic Tank Absorption Field Ulf Station Holding Tank lubWPMte Sewer Line atl1« Anchorage Tank b Welding, Inc. r 1500 CM M« I a Caav«buraF ww 133 105' - — 100'+ 10ga. steel, epoxy coated 2 swf—wM too'+ 100'+ _ _ LIFT STATION Lau» 20' 31' - NA cr 'Fury ow M a 'Poop WYwI M 1 wM« siren « FaunNaan 10' 20'+ - � b b n Metes Mode a Ercbrai baps P0101 by C~ Dl.w 1Q+ 20' _ Fi "BENCH Peat and silty sand were removed and backfilled with MARK Lacrpn ens . clean filter sand. Native unsaturated soil 2.8 ft. top of manhole ♦MKKl 123.07 FL Engineers Stamp Inspections performed by: Cindy W. Ellis, P.E. Dates: 10 8112005 2nd 8/32005 OF... P��4 •.......' • i 9S Development Services Department Approval ' 49TH 9 Conditional Approval Date: //�j---- Cl y W. Ellis (7i b7 CE-10577 ; �Z Reviewed and approved by: Date: _ °ct lit« wael ssior+� LOT 34A LOT 33A 1p�J92 AdvanTex AX -20 % 1500 gal steel tank e� a TH#2 Curtain Drain 'a 4�t4 � Rabbit Creek Heights, Bik 10H, Lot 32A Record Drawing of Septic Upgrade Christoper Demientleff Parcel ID: 020-113-57 Permit No. SW050194 Cindy W. Ellis, P.E. June 5, 2007 Scale 1 Inch - 30 ft Site O0 LOT 32A 1 WELLo AS -BUILT 4 Based upon a survey by Kevin Smith, LS -9234, June 4, 2006 Watkins Engineering, Inc P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 49I0 A B DC01 20.0 11.8 DCO2 19.8 12.4 ST1 19.3 12.9 MH 19.4 21.0 COt 30.1 26.3 CO2 49.1 39.1 MT1 48.5 38.2 TH#2 Curtain Drain 'a 4�t4 � Rabbit Creek Heights, Bik 10H, Lot 32A Record Drawing of Septic Upgrade Christoper Demientleff Parcel ID: 020-113-57 Permit No. SW050194 Cindy W. Ellis, P.E. June 5, 2007 Scale 1 Inch - 30 ft Site O0 LOT 32A 1 WELLo AS -BUILT 4 Based upon a survey by Kevin Smith, LS -9234, June 4, 2006 Watkins Engineering, Inc P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 49I0 DCO STI FINGRADE =122.47 ADVANTEX I I MAN- I 2" PVC AX -20 POD HOLE STEEL ADVANTEX TANK 114.41 1 1500 GALLON N.T.S. FINAL GRADE= C01 121.85-122.24 MT1 CO2 FIL 116.08 SEWER ROCK 114.68 FILTER SAND 20.0' TRENCH N.T.S. NOTE: RELATIVE DEPTH OF TEST HOLE = 105.08 WATER @ 111.85 Rabbit Creek Heights, Blk 1011, Lot 32A Record Drawing of Septic Upgrade Christofer Demientieff Parcel ID: 020-113-57 Permit No. SW050194 Watkins Engineering, Inc. NOTE: ORIGINAL GRADE =116.96-117.58 AS -BUILT Cindy W. Ellis, P.E. P.O. Box 110443 June 5, 2007 Anchorage, Alaska 99511-0443 No Scale Phone: (907) 349-1851, Fax (907) 349-1934 EDS ELECTRIC INC 907 272 4S90 05/18/06 05a19pn P. 001 ED'S ELECTRIC INC. P.O. BOX 210767 ANCHORAGE, AK 99521 To Whom It May Concern: ANCHORAGE (907)2724591 Fax: (907) 272-0590 Subject Septic System 17020 Jacqueline Circle, Anchorage Alaska 99516 Ed's Electric, Inc. pulled wire and terminated wiring in panel and at the lift station. Inspected owner installed work, found no apparent code violations. Thank you, Dwayne R Bruns Ed's Electric, Inc. License #972 Thu, 18 May 2006 2:21 PM LOT 34A LOT 2A LOT 33A / / / / / n� / [a vrurr 1 / / usn[xr / Junne M -our p / rw •YVIrC [5 m / LOT 3A AS -BUILT RABBIT CREEK HEIGHTS LOT 32A BLOCK IOH PLAT 2004-91 • SURVEY CERTIFICATION: SMITH LAND SURVEYING. has conducted a physical,survey of this p, as shown on this drawing and that the Impttrvemrnts e[Nated thereon ere within the properly lira and no encroachments exist other than noted. EXCLUSION NOTES:lt is the owners responsibilityto determine the existence of any easements, Covenants, Of restrictions which do not apps: on the ro orded subdivision plat. JUNE 3. 2006 05-149 R=50.00 L=32.18 / LOT 31A OF``��\ i �,�F, ....... ALgs�) �..; 49 I�KEVIN M. SMITH LS -9234 > 9Wm LAND , �DURVEYWG LAIND SURVEYING' MAPPING • PLANNING 2331 SCARBOROUGH DRIVE, ANCHORAGE ALASKA 99504 TEL/FAX p (907) 337-6046 I I OKS I KMS 1 3340 1 0501/57 1 1 May 28 C7 08:10p r. p.I STATIE OF ALASKA A.L.ka Mate law requires that a ctq.y of this welt hvp lte sent to tlx• Dcjmnnk!nt nr Nalwal Ks.xuccs %shin •Is da)N: f.•tecs 1n: h,centahlq« (AK statutes U.0S n?n, .t8.115,035, .11 Ax.O_'n. 16. 13.020 and AK M-gulaintiv 1 I AAC• 4 i,110). UKIC' Un'omn of Mnbn,,:. I nal anA N'dtrr, •Sit iv 71h A.enne, Suite 1020 Ancbur,n•,t•, AK q')sni- 3562 rhutw (907)NO-8631 and eta 007)N.9-8047 within tlw City of Anchorage, it is required slut a copy orthe well log be sent to the aplxopriatc city ol)lce w•i:hin 60 days and that another copy of the well 14r• be sent to [be welk•pmperty owner within :in days. Pernod ✓umber. Sw050194 llatc of 1+woe: Jun : 29 52005_ Parcel ldmritication Number, !s well lacalcd at apixosci pcmtit lutatitui! (x) Yrs or ( ) No I►F:PAIUMENT OF NATURAL. Rf:SOURCES DIVISION OF MINING, LAND & WATKIC WATF,R WELL LOG UtAring StanlRt: lit 1_5_.12005•txnpirtmi:17!1512005 ^� Subdivision. I)t.(X•K 60T P. operty Owner.anve f Adan' v Chris Dernientieff 17020 Jacqueline Circle Anchorage, Ak. 99516 i Anchorag Rabbit Creek Hgt 10h 32a �tctidmn_ '1immhtp „_ I(anty: lection �1A of '1A of V, tic '�+ r ___ • • l3UREIIULF: UA'i'A(ffOm top Of CaSingpepth 1)rillntp; netlxxi: (X) Air unary, ( ) Cable t«>), Other Matornl: •Pyre, Color &. wtancss Fmn' s N�cll ase: 1 1 Public supply, (yO Ih,tnesdic, Otho stickup 0 2 vertu of hole[ 11 A, (•using stickup: 2__ Il casing tylw:steel 'thickness: -25.50 inows Casing dianwter. • _ . 6 inches (asing depth: _ 98 .__ ft - Clay 8 tock 2 g hes pth: ti Liner tvlx-: biatctcr. inclle silt & rock $ 20 titalte watc7 (from top of casilti ): , 35., tion 11 / 15.2005 t'ontping level & yield: fee aIIcr hours al gptn Recovery rade: 7. ppm. Mcnhexl of Icstinr.:.. airlift - clay & rock 20 96 IA•vclopnteni nwtlxxl: 2idift Duration: 1 hour clay & rock w/ 6ttie H2O 96 98 Well intake opening ty1w: ( ) Opcn cnd. (x) Orx:n hole, Other . Scrccncd: S:art:. -.� fl, Stoppcd Screen tyle:. • --- Slolimesh size: _... . Shale w/ H2O 98 110 Perfurltcd. Sun:._.—" 11, Sury.lwd: 11 Stan: _. A. Stopped: i Now Grout lye'': _ berltgnite ..-_. Volunx: Depth, from , io 20 (( i _ground_�ujace . Pump intake depth: fi Punt site: hp, Brand name. Was well disinlCcwd upon WnMletion? ( )( Yes, ( ) No Method ordisinrection:...chlarine................... ........................ _...... (Atllercommcntsldisclaimcn.................................................. _........ i ........................................................................................................ .................. _...................................................................................... .... Well driller n:mw:.J�topl,(�1(.13-Kay.................................................... C•ompan. name:... He::]..D(IIIIT?9r.InG:.............I........................... 3540 Akula Dr. Mailingaddress:._............................................ _............ Illy, Anchorage State: M zip. 99516_ Photle number : ( 907 ( 345 _ 0593 fax:345-4700 Drillers strnamre: A.L.ka Mate law requires that a ctq.y of this welt hvp lte sent to tlx• Dcjmnnk!nt nr Nalwal Ks.xuccs %shin •Is da)N: f.•tecs 1n: h,centahlq« (AK statutes U.0S n?n, .t8.115,035, .11 Ax.O_'n. 16. 13.020 and AK M-gulaintiv 1 I AAC• 4 i,110). UKIC' Un'omn of Mnbn,,:. I nal anA N'dtrr, •Sit iv 71h A.enne, Suite 1020 Ancbur,n•,t•, AK q')sni- 3562 rhutw (907)NO-8631 and eta 007)N.9-8047 within tlw City of Anchorage, it is required slut a copy orthe well log be sent to the aplxopriatc city ol)lce w•i:hin 60 days and that another copy of the well 14r• be sent to [be welk•pmperty owner within :in days. Pernod ✓umber. Sw050194 llatc of 1+woe: Jun : 29 52005_ Parcel ldmritication Number, !s well lacalcd at apixosci pcmtit lutatitui! (x) Yrs or ( ) No MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water 8 Wastewater Programw l D 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 O\�, (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO50194 Date Issued: Jun 29, 2005 Expiration Date: Jun 29, 2006 Parcel ID: 020-571-58 Legal Description: RABBIT CREEK HEIGHTS SUBDIVISON BLOCK 10H LOT 32A Design Engineer: 0844 Watkins Engineering, Inc Site Address: 17020 JACQUELINE CIRCLE Owner Name: CHRIS DEMIENTIEFF Lot Size: 23779 SQ. FT. Owner Address: 3924 STARBURST CIRCLE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99517 - This permit is for the construction of: Q Disposal Field ❑./ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. TH ABSORBTION BED MAY NOT BE INSTALLED ON A GROUND SURFACE SLOPE GREATER THAN 10 PERCENT. Received By: Issued By. e4A[ Date: Date: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-571-58 Permit Number SW Property owner(s) Chris Demientieff Day phone Mailing address (1) 3924 Starburst Cir /()A 9g51� •10taiting address (2) IgD'2D T2C QUeLLitc. Ot 1zLr Zip Code Legal description (Lot, Block & Sub'd.) Rabbit Crek Heights, Blk 10H Lot 32A Legal description (Section, Township & Range) site address: 17020 Jacqueline Cir Lot Size 23,779 Acre q.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: ZD Sewer Only ❑ Well Only ❑ Sewer and Well Il Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ® Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. PE. (Signature of pro&rty owner or authorized agent) Permit Fees: S 1-15 °' -k 4WU Waiver Fees: Date of Payment:JP7 R 5 Date of Payment: Receipt Number. 7 Dy sQT Receipt Number. (Rev. 12100) Watkins Engineering, Inc. RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net June 27, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Rabbit Creek Heights, Blk 10H, Lot 32A Proposed Well and Septic Development To Whom It May Concern: Attached please find the application and supporting documentation to drill a well and install a septic system for a proposed 4 bedroom house on the subject lot. A site plan is attached showing the proposed well location, which is more than 100 ft from any existing septic system. An AdvanTex Category III septic system with a 20 ft long 5 ft wide trench is proposed. Initially, a 2 bedroom cabin will be placed on the property, to be served by the proposed well and septic system. When the 4 bedroom house is built, the cabin will be disconnected from the well and septic system. Four test holes were dug on the property, with the most suitable location found around Test Hole #4, dug on November 24, 2004. There was groundwater influx at 6 ft when the hole was dug. A temporary curtain drain was dug around the perimeter of the lot in late April 2005, and the groundwater was measured at 5.73 ft below surface on May 5, 2005. A permanent 8 ft deep curtain drain was installed on June 10, 2005, which is documented on the attached site plan. On June 16, 2005, the water level was measured at 8.6 ft below surface. The proposed bottom of the septic system is at 1.5 ft, allowing for a 4.2 ft separation distance to high ground water measured on May 5. The test hole was dug to a total depth of 12.5 ft, with 2 ft of peat at the surface and silty sand to the bottom. A percolation test was performed at 3.5 to 4.0 ft, with a result of 2.7 minutes per inch. It is proposed to excavate the peat and the native silty sand to a depth of 3.5 ft, backfill with clean sand, and install the sewer rock at a depth of 1.5 ft below high original grade. An effective depth of 0.5 ft is proposed for a 5 ft wide shallow trench drainfield. The soil log is attached. There is also a location for a reserve site within the 30 ft radius of Test Hole #4. Welland Septic Permit Application for Rabbit Creek Heights, Blk 10H, Lot 32A Watkins Engineering, Inc.; June 27, 2005; page 2 Proposed Soil Absorption System: 4 Bedrooms x 150 GPD/BR System Type: Application rate: 600 GPD / 6.0 gpd/fe _ Maximum Depth: Effective Depth: Dimensions: 600 GPD AdvanTex w/5 -wide 6.0 gpd/ ft' 100 fe required 1.5 ft 0.5 ft 5ftx20ft=100ft' The native peat and silty sand will be excavated to a depth of 3.5 ft and backfilled with clean sand to 1.5 ft. There are no surface waters or private wells within 100 ft of the proposed septic system. The executed maintenance agreement for the AdvanTex system is attached. 1 am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, 4414 100-lb- Cindy 0� Cindy 4. Ellis, P.E. President 23 19 n 25 26 Undeveloped •Ef ting Well I \ \ 2� HTsO 21 � Pot \'al W ISG / I \ Lown \ Undeveloped Potential ell 3,J / Lo tion dd 28 I\ 34 I GT Levet'ped/ \ \ �ndevelopetl �/ /' \ Potential Well Location / \ I \ / TTi#t Undeveloped posed 100 R 29 f Well Undeveloped/ �\ /THp9 3 It radii Lowtio Proposed TK#2 /i$eolicArea / Septic � C System Undeveloped 2 \ / \Undevel6ped' / 30 \ / � otential W II e ipArea \ orations \ Exis' /el 3 tj n I Existing Well \ 29 I Appx. Locatio \ 4 / 5 Rabbit Creek Heights, Blk lOH, Lot 32A o� pF 0. A. Proposed Well & Septic Development Watkins Engineering, Inc ..... o .q 6 s fig, Chris Demientieff G a Parcel ID: 020-571-58 �' TH p > . 49 — �; �...... ................:..... C .u��..... �' ��' '•. Cl ELLIS ' P.O. Box 110443 Cindy W. Ellis, P.E. ��`; cE W . June 27, 2005 Anchorage, AK 99511-0443 0��14ac, Scale 1' - 100' Phone: (907) 349-1851 Fax: (907) 349-1934 'I1:.'ap.`bq�r� TH#4 Peat -2.c7-- SM -5.73--Val on SM Proposed 5' wide Trench minimum soil cover fabric & insulation •0.6— 1.25" PVC w/0.25"holes, l8" OC -1.0 lel.' 0.5'sewer rockclean sand3.5rle NTS `otco°j c'pe,� Water Corp) 5.73' olt°ol. / / a� ` \Z° ' I on 5-5-05 .SV MT si 4O• j� 2ea \ TH#4 / kO \ MT / I N DESIGN DETAILS 4 BR, 600 GPD 6.0 gpd/ft2 Requires 100 ft2 5 -Wide Trench 0.5 ft effective 20 ft long 100 ft2 r� I \ TH#1 O 3 0ftTHo q ii rad wn Proposed Weyl Location Slope 20% / 14 T11#3 Future site: \\ House \ / TH#2 10 I \\ \ Curtain Drain \ Izz \� Curtain Drain \ installed on 6-10-05. 8' deep max. AdvanTex Septic System Drainfield: 0.5' effective; Excavate to -3.5', backfill w/ sand to -1.5 ft. Rabbit Creek Heights, Blk 10, Lot 32A pF q'� Proposed Well & Septic Development Watkins Engineering Inc �� �`` Chris Demientieff , 49 TH Ftp y„ Parcel ID: 020-571-58 td! l�ill6i, L....,. `C •: c. Y w. 577 G•-, •. - tosn Cind W. Ellis, RE P.O. Box 110443 Y June 27, 2005 Anchorage, Alaska 99511-0443°0t•.• •.. Scale 1' = 30' Phone: (907) 349-1851, Fax: (907) 349-1934 �4y��^c ;;;�� Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.munl.orglonsite (907) 343-7904 1dy W. Ellis CE -lose Soils Log - Percolation Test Ia,< Performed For. Chris Demientieff Date Performed: 11-24-04 Legal Description: Rabbit Creek Heights, Blk 10, Lot 32 Township, Range, Section: Depth PaT — a.o 94 P fwet--Fest ro test. WAS GROUND WATER ENCOUNTERED7 YES S IF YES, AT WHAT DEPTH? 6 L Depth to Water Aller 0 Monitoring? 5.73 e Date; e, -5 -05 Reading Date Gross Time Ne! Time Depth to Water Net Drop 1 11/24/04 12:55 0 6 — 2 1:05 10 1.125 4.875 3 1:16 10 2.25 3.75 4 1:27 10 2.25 3.75 5 1:38 10 2.25 3.75 6 1:49 10 2.25 3.75 7 2:00 10 2.25 3.75 PERCOLATION RATE 2.7 (0--t-40) PERC HOLE DIAMETER e TEST RUN BETWEEN 3.5 FT AND 4.0 FT PERFORMED BY: Cindy Ellis d James Sales I y(!w1fw CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUID VINES IN EFFECT ON THIS DATE. DATE: 11-74-61t ADVANCED NVASTENVATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN )\ UNICIPALITY OF ANCHORAGE AND �itl`1S 01ni i41-fie1'i" THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this P-7dayof-1,,,.\P of2005,byandbetween Chfi3 Q?lrtilfitieloP herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED NVASTENVATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as { dWn Fcx AX -70 located at & bbil6rlek- flei5w's B)Bd,-- 10H, Lot 32 A , Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. 111aintcnance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of — ?:X CO (S -6':. ), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWNk7S without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonw•aiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: O,.vner: Ci�L�W Aem imbefl Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: By: D?/It� ✓ i /6 .... w.w .LIDO Date: Jwe27, Rom STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoin nstru7 20Q�_, by1r1s lJ y"nA. Y"Vc- NOTARY PUBLIC FM ALASKA i^/- , My Commission expires: V 0 MUNICIPALITY: By: Title: Date: ) ss. I i before me thisL?L day of , the _ of 0