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Home My WebLink AboutCROSS VIEW ESTATES BLK 2 LT 3Ar �f uv VJ/VL/ IO) Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171164 PID Number: 015-221-91 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name Jim & Annette Coleman ABSORPTION FIELD Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 12131 Upper Heritage Cir. Anchorage, AK ❑ Other Phone Number of Bedrooms Soil Rating iTotal depth from original grade 770-1536 4 0.8 GPD/SF 8.8 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.8 Ft. Gravel depth beneath pipe 7.0 Ft. Subdivision Block Lot Cross View Estates 2 3A Fill added above original grade 2.1 Ft. Gravel length 54 Ft. Township Range Section Gravel width 3.0 ® Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 756 F6 1 Ft. Well >100' >100' N/A N/A >25' TANK ❑® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1,250 Gal. Surface Water >100' >100' N/A N/A Material Number of compartments Lot Line >5' >10' N/A N/A NA Steel 2 Foundation >1 0' >10' N/A N/A LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank D3034Tank to D3034 drainfield Installer Owner Install Drainfield D3034 Co/MTD3034 Inspector J. Mlllette BENCH MARK (Assumed elevation) 100 ft Inspection15` 5/16/18 5/17/18 Location and description 3 r 2nd 4"' Bottom of siding @ point B ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Sim OF Conditional Approval: Date ° 49th ............................................ ffi 0.MICHAEL E. ANDERSON Septic System 10(/Qcv() ,No. CE-4381Approved�UUAQDate �� TF °•.,,,° 1t/7/20 ®� Note: this approval does not include well permit requirements. •,..••'��'� a .........N �r®®gO®® �f uv VJ/VL/ IO) CROSS VIEW ESTATES BLOCK 2 LOT 3A PERMIT # OSP171164 PID # 015-221-91 \ I LOT 2 EXISTING WELL ALTERNFE SITE n EDGE A.C. PAVING / / / MT CO2 TH® —LOT -3A / 54' LONG x 3' WIDE, 7' / \ C01 2C0 EFFECTIVE DEPTH EXISTING ELL SV2 ABSORPTION TRENCI \\ \' (SERVES -BDR HOUSE) q SVt BFCO 1,250 GAL SEPTIC TANK/ 1 00'WELL RADII -A\90 71 2�\ LOT 5 1 CN G I N C E AI NG 4-BDRM HOME 0 50 100 FEET I"=50' 5 � QO O OP A B FCO 15.0 7.8 SV1 19.5 14.0 SV2 27.2 22.1 2CO 29.8 24.9 C01 21.5 30.1 CO2 76.0 78.3 MT 73.1 76.0 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE CROSS VIEW ESTATES BLOCK 2 LOT 3A PERMIT # OSP171164 P I D # 015-221-91 94.2 FINISH GRADE OUB 92.1 ORIGINAL GRADE AR DRAINFIELD ROCK 83.3 r® 54' E- - 76.1 NO GROUNDWATER 6/26/17 PROFILE AS -BUILT (NO SCALE) O 0 90.3 RECEIVED 10/31/2019 06:OOPM 9076777766 FORGE 07/13/2019 07:30 907-345-0202 ALPINE DRILLING MUNICIPALITY OF ANCHORAGE PAGE 01/03 Development Services Department Phone: 907-343-7904 on -Site Water & Wastewater Section Fax: 907-343-7997 Well Drilling Permit Number: N/A Date of Issue: N/P Parcel Identification Number: N/,' ---- Lo P'r"X OA Owner Name& Address: CrgIVIlle iption Block Lot Cross le'!C1 SUB. 3A Jim %tte Coleman 6251 Downey Finch Dr. Anchorage, AK 99516 P=p Installation Date; _08-_27-22.18 Pump Intalm Depth Below Top of Well Casing; 434 feet Pump Manufacturer's Name: Grundfos Pump Model: 16530-24 Pump Size: 3 _hp Pitless Adapter Burial Depth:feet Pitless Adapter Manufacturer's Name: Maas _W6'4� &t' Pitless Adapter Ustaller, Owj'�5ve' Well Disinfected Upon Completion? J9 yes 0 No Method of Disinfection., chlorine tablets Comments* Please save for COSA. Pump Installer Name- Company- Aarow Pump & Well Service, LLC Mailing Address; P.O. Box 110496 ritw Anchorage State: AK zip-, 99511 Attention., The pump installer shall provide a pump installation log to On-site within 30 days of pump i . astallation. SGS Ref.# Printed Date/Time 11/13/2019 15:35 Collected Date/Time 11/04/2019 14:15 Received Date/Time 11/04/2019 14:57 Technical Director Stephen C. Ede 1196612001 Client Name Forge Engineering Inc. Project Name/# CROSSVIEW ESTATES B2 UA -HOUSE Client Sample ID CROSSVIEW ESTATES B2 UA -HOUSE Matrix Drinking Water Sample Remarks: Parameter Results LOQ Metals by ICP/MS Arsenic ND 5.00 Waters Department Total Nitrate/Nitrite-N ND 0.200 Microbiology Laboratory E. Coli Negative 1 Total Coliform Negative 1 Allowable Prep Analysis Units Method Container 1D Limits Date Date Init ug/L EP200.8 B (<10) 11/12/19 11/12/19 BMZ mg/L SM21 450ONO3-F C (<10) 11/05/19 EWW I00ml- SM219223B A 100ml- SM219223B A 11/04/19 A.L 11/04/19 A.L f•: RECEIVED 10/31/2019 06:OOPM 9076777766 FORGE 07/13/2019 07:30 3e7-345-0202 ALPINE DRILLING PAGE 02/03 i 0 _1� =hone: �907-3=3-79M Development Services Department Fax: 907-343-7997 On -Site Water & Wastewater Section 0*) Pump Installation Log 3 _7 06 Well Drilling Permit Number: 060028 Date of Issue: Parcel Identification Number: 01 x_221.49 e Block. Lot proXerty owner Name & Address: -LaJim Annette Coleman ME View Estates Description 2 3A 6251 Downey Finch Dr, Anchorage, AK 99516 pump installation Dater 9 -io _q8 - 423 pump intake Depth Below Top of Well Casing'. - feet Pump Alarufacturer's Name: Go"d' pump Zvfodel; 5H 3 10 Pump gize. 1 ho Fitless Adapter Burial Depth: n/a feet Mess Adapter Manufacturer's Name: lila Pitless Adapter Installer* n/a Well Disinfected Upon Completion? S yes 0 Na �Vethod of Disinfection: chlorine tablets Comments, PLEASE SAVE FOR COSA. Pump Installer Name' David Harper C..,any, Aarow Pump & Well SVS, LLC Mailing Address. Po Box 110496 City-' Anchorage state: Alaska Zip; 99511 Attention' The pump installer shall provide a pump installatioll log to 0,a -site withi-a 30 days o£pump iiistallation. COPY SGS Ref.# 1196613001 Client Name Forge Engineering Inc. Project Name/9 Crossview Estates B2 L3A Client Sample ID Landscape Well Matrix Drinking Water Printed Date/Time 11/13/2019 15:35 Collected Date/Time 11/04/2019 14:30 Received Date/Time 11/04/2019 14:57 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 Waters Department Total Nitrate/Nitrite-N ND 0.200 Microbiology Laboratory E. Coli Negative 1 Total Coliform Negative 1 ug/L EP200.8 B (<10) 11/12/19 11/12/19 BMZ mg/L SM21 450ONO3-F C (<10) 11/05/19 EWW 100mL SM219223B A 100mL SM219223B A 11/04/19 A.L 11/04/19 A.L 2 RECEIVED 10/31/2019 MOM 9076777766 FORGE 07/13/2019 07:30 907-345-0202 ALPINE DRILLING MUNICIPALITY F ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On -Site Water and Wastewater Section Fax: 343-7997 www,munI.orzwv"4 e Well Decommissionin ............. %supp. Legal Address: Subdivision —Block _-P— LotY T R_ Section Lot On-slte Water & Wntewoter Section certified contractor performing the well decommissioning: Name: Signature: David Harper Company: Alpine Drilling & rEnterprises,_ Well decommissiorilhg data Method ofdecQrnmisslonlng: AMC 15,55.0601-1 ❑b, C. PAGE 03/03 Location: Use the space beton to provide a drawing of the property showing the following itemv: tv North arrow AN DG�wmmlssioned well location Location of other water wells on the property Two separate swing -tie distances for each well shown on the drawing Note: The swing-fle distance.9 shall be measured from either permanent structures or the property comms. VO. n R"+—v k � G.Wevelop"'ant •........ # 'y e10z/or/o1 •• 4C,�•ipa�L609-SI +pis, sem® at .........( .. r+16b ® S y e ®®®® >b JO ®p®® 0d0� NdWjjnN i •j•S L60'18 Z >10018 'V5£ 101 NOISIAI(ions S31ViS3 M31A SSO(xJO Z4 -L I OZ 'ON lvld Ml ddZV£3A0 ZO-131 31x0 Si HI 13S S63NHo0 ON :31ON 'ON ear aD VASVIV '101HIS10 ONIOM0038 30V80HONV 6tOZ/0£/Ot L£LZMS 'S3Nil 3ON33 80 A21VONnos ONIHSII8VIS3 210-1 80 NOU:Dn8ISNO0 2103 03Sn 38 N0383H Diva 0160 VIVO ANv OlnOHS S30Nv1Svm:)8io ON 830Nn ggpg-gyZ 3NOHd 'lvld NOISIru08nS 03080038 31-i1 NO 6V3ddV L0666 V>ISVly '3!)V80HONV ION 00 HOIHM SNOIIDIZIIS38 80 S1NVN3AOO g DIMS"ON ON11M00 •3 DOW AN SIN3n3Sv3 v 30 30N31SIX3 31-11 3NIV483130 S.1.8 'IolvlSVO v 3j3r 01 83NMO 31-11 30 A111181SNOdS38 31-11 S1 11 1OII 'ONIA3A8nS *031VOlONI SV id30X3 ISIX3 SIN3WHOVO8:)N3 ONYI 10.MISVO ON 1VH1 ONV 3A08V 03101d30 AI83dO6d 31-11 03A3A2inS 3AVH I IVHI A311830 A83213H I I 11 0 no— G; w 0d0� NdWjjnN i •j•S L60'18 Z >10018 'V5£ 101 NOISIAI(ions S31ViS3 M31A SSO(xJO Z4 -L I OZ 'ON lvld Ml r,„,,' "”' MUNICIPALITY OF ANCHORAGE ocnr On-Site Water & Wastewater Program t° 5,. , PO Box 196650 4700 Elmore Road � Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 _ http://www.muni.org/onsite ' -- t):Tai tiut.ni On-Site Wastewater Disposal System Permit Permit Number: OSP171164 Effective Date: 7/6/2017 Work Type: Septic Initial Expiration Date: 7/6/2018 Tax Code Number: 01522191000 Site Legal Address: CROSS VIEW ESTATES BLK 2 LT 3A G:2737 Site Mailing Address: Owner: COLEMAN JIM & ANNETTE Lot Size in Sq Ft: 87091 Design Engineer: ANDERSON ENGINEERING Total Bedrooms: 4 This permit is for the construction of: 0 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 Special Provisions: 1. To close out this permit, please submit the following: a) Inspection report and record drawings. b) Pump install log and water sample results for the well serving the residence. 0_ c) Decommissioning logs for the two additional exploratory wells that were drilled on this lot. 1 Received By: .,2C4(X g fzt� ,�1��//zee 1 Date: / Issued By: / t,e.� ,,,s_ zz,". Date: 77241 7 MUNICIPALITY OF AI C: RAGE r■ Community Development Department ►jt J viz 7_ hone: 907-343-7904 Development Services Division a JUN L 7 2 Fax: 907-343-7997 On-Site Water & Wastewater Program lti 6 / ON-SITE SEWER/WELL PERMS \Af?RLA N Lb Parcel I.D. 015-221;66 9 Property owner(s) Jim and Annette Coleman Day phone 770-1536 Mailing address 10380 Nigh Road Anchorage, AK 99515 Site address NHN Upper Heritage Circle Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Cross View Estates, Block 2, Lot 3A Legal description (Township, Range & Section) Lot Size 87,091 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field Q Initial ❑ Single Family (SF) E (w/wo ADU) Septic Tank Q Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage El 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. Gltt--,Il-�r (Signature of property owner or authorized agent) Permit/Rush Fees: ' L4q -r Waiver Fees: Date of Payment: to 130 !I i Date of Payment: Receipt Number: O8 gas G Receipt Number: Permit No. 051?11 �Ilp� Waiver No. Permit App_9-1-12.doc ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) June 27, 2017 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3A, Block 2, Cross View Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 3A, Block 2, Cross View Estates Subdivision intends to construct a new four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new septic system to accommodate the home. Two wells are in place on the lot which were used during the aquifer test on the original subdivision. One of the wells will be abandoned in accordance with ADEC and Municipal Code. The attached Site Plan and backup documentation identify the location and configuration of the existing wells and proposed septic system along with the alternate site. Also identified on the plans are the existing wells in the area and septic systems on surrounding lots. No conflicts exist between the proposed septic system and well or septic systems and wells on adjacent lots. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. The test hole placed on the lot in the area of the absorption trench and alternate site indicate silty sand with gravel (SM/GM). The percolation rate of the soil was determined to be 14.1 minutes per inch. No groundwater was found during the placement of the test hole and none was noted during the monitoring period. An application rate of .8 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 1 ,250-gallon septic tank and a 54' long by 3' wide by 7' effective depth absorption trench to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 2' below the surface and the total depth will be 9'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. Lot 3A, Block 2, Cross View Estates Subdivision June 27, 2017 Page Two The ground surface on the lot in the area of the septic system slopes to the northwest at a grade approaching 20% with some cross sloping from the east. The new trench will be constructed parallel with the contours of the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, OF .4 81 ikt #.% ; .'7 Benjamin Schiller, P.E. 9.< ..... ......"•„.y Attachments �0�y% t• iW.R" ft•�' }j�F „ u. IS f r 2 6! °7 414?•••`vti � 11%CI,Ts,r+,`. ''. / `� 1 \ •\ Diana M+ I t f t \ , t LOT 9 1 't / LOT 2 It � i f LOT 8 1 I// I S)11 VACANT i ��,_ t _► I ' \: :CY/ 4 'I'd 1_______L: , WI 4., i ��' / iirm.: r.d) \ I d '41/ ii=1:/// 1 I - ' 1 / / ':/ / LOT 5 .•\ % \ a /, Z Cl /� Nuff � ' iosisrmilitii • � CROSS VIEW ESTATES • �`� 49th :E. , LOT 3A, BLOCK 2 1 MICHAEL E. ANDERSON•; i AREA M A P t/ •• Na. CE-4381 r V. '.••4-t$ i?.••' ...4). SCALE 1' = 100' 7x CROSS VIEW ESTATES LOT 3A, BLOCK 2 ,/* LOT 2 87.091 S.F. 1/ / // \ 52.2110 204, 'As �r ... / N''''..°.7.9 �R d.' MT Alternate /� ��`03 '� Site TH1 `�Jr w o„ ® 54' Long x 3' Wide r 760 J c, x 7' Effective Depth r I 2C0 ��' Absorption Trench r I/'/ ; *N 1.250 Gallon / ' 1 Al = �' Septic Tank / Zi/ 1 � FCO 111 / / / 1 ,// / i \ t __- ' /i / / / 1 / 1 / 1 % / 1 / / 1 / 1 / t / .it °-1 \ LOT 5 „1 A - r11 1,.* � , / / ,y '� / LEGEND 1 a�. MT — Monitor Tube s� ��•/..6'1/4- � 44 /' MH — Mon Hok 1 ..� . 1 FCO — Foundation Clean Out �� $. r/ TH — Test Hole 11 �' • CO — Clean Out .' / FSV — Flow Splitter Valve 1 -' 2C0 — Double Clean Out -i' 1 ' NOTE: 11, ,. I +Willi•iiiII No Areas of Excessive Slope or Surface $ 11 • +�4, 4a, Water are Within 100• of AnyPart of the G New Septic System. No Wells or Wastewater i �1 / �.44;1\‘>.'rr� .•' '• ,� Systems on Adjacent Lots Conflict with the 1 —J;' Proposed Septic System. 1---'� / f s • 49th * • 10 I117.44-tie-0-4-7..Z (-1-"'1' :� SITE PIAN _ , =HICHAELE. ANDERSDN ,,�, SCALE 1' = 60' •:� FE;;*N.\-44 LOT 3A, BLOCK 2, CROSS VIEW ESTATES DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home Deep Trench System Perc. Rate: 6-15 Min./Inch 1,250 Gallon Septic Tank Application Rate: .8 GPD/SF 7' Drainfield Rock 4 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 750 SF Absorption Area 750 SF/14 SF/LF = 53.57 LF Trench Length THEREFORE: Construct a 54' Long x 3' Wide x 7' Effective Depth Absorption Trench at the Location Shown. Flow Line Elevation in Trench to be 2' Below Original Ground Surface. Total Depth to be 9' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Maintain 100' Separation from all Wel!sin the Area. Natural Backfill 1'6" Geotextile Fabric 6" O 4" Perforated PVC (Holes Down) 7'0" Drainfield Rock 3' I I TYPICAL DEEP TRENCH SECTION �/ (NO SCALE) P( •44 =� . NOTE: Grade Area Over Trench to Drain Away. Z2v. * Minimum 6' Separation From Bedrock. 49th s Minimum 4' Separation From Groundwater. * c �Uf Minimum 100' Separation From All Wells in the Area. � : •MICHAEL E.ANOEHSON ••LLI • Minimum 100' Separation From Surface Water or Streams. 11061-pNo. CE-4381 MUNICIPALITY OF ANCHORAGE _ •ymi1llN DEVELOPMENT SERVICES DEPARTMENT � a #� P + . 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 i•�' % .• ..4: ; MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SWO60028 Legal Description: HERITAGE HILLS #1 TFt'G` L07'_r Design Engineer: 0000 None Required Owner Name: CFM HILLSIDE, LLC Owner Address: 10380 NIGH ROAD ANCHORAGE. AK 99515 - Date Issued: Mar 07, 2006 Expiration Date: Mar 07, 2007 Parcel ID: 015-221-40 Site Address: 012241 BAINBRIDGE RD Lot Size: 2431955 SO. FT. Total Bedrooms: 6 Permit Bedrooms: 6 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Z Private Well ❑ Water Storage 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 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. -WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. i' -THIS PERMIT IS FOR THE PROPOSED HERITAGE HILLS LOT 3 1 Received By: Date: cpco Issued By (" — Date: 2 2 0 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. _Q jE2-d_aj— 40 — [0o Permit Number SW Property owner(s) Day phone _,344 —R'>?2 Mailing Site address Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size a) S -1d Acre q.Ft. THIS APPLICATION IS FOR: Code gg51 'r;' Code E'er_ c fl AA : 4. ^,A '-1 Number of Bedrooms to Sewer Only ❑ Well Only Sewer and Well ❑ 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 I,gmily Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: % 15'o Waiver Fees: Date of Payment: !O A (/t) S Date of Payment: Receipt Number: -75/2q Receipt Number. (Rev. 09/04) J. A. MUNTER CONSULTING, INC. October 11, 2005 Mr. Dan Roth Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program PO Box 196650 Anchorage, AK 99519-6650 Re: Aquifer Test Plan update, Heritage Hills Subdivision, Anchorage, Alaska Dear Mr. Roth: C" Ids 3q a .3 I am providing you this plan on behalf of the owners o the proposed Heritage Hills Subdivision to accompany well permit applications for the drilling,'wo additional test wells at Heritage Hills Subdivision near the comer of Birch and Huffman Roads in Anchorage. Please see my letter to you dated September 15 and the map provided to you on this project. Subsequent to the testing and approval phase for this project we anticipate converting the wells to private domestic wells and they will be located and constructed to meet municipal standards for residential wells. At this time we are only requesting permits for drilling wells. Subsequent hydrologic test plans need to await the results of the drilling and we will be inform you as the program develops. Should you have any questions about this plan or the attached well permit applications, please call me at 345-0165 or on my cell phone at 727-6310. Sincerely, J. Munter Consulting, Inc. lames A. Munter, CGWP, CPG Principal Hydrogeologist 5701 PENNY CIRCLE, ANCHORAGE, AK, 99516 i amunter(a-`arct ic.n et PHONE(907)345-0165; FAx (907) 348-8592 c N Q Oo rn l �? \ (Do: v \ Ji N ` v IT I tN) to Ln N 1 \>oJ� 0') Ln N O Cli\ �C I d' y w Q N ' 00 (jo I d- Q cr w N to r0 t I �r I ALPINE DRILLING & ENTERPRISES Permit Number: #SW050352 Date of Issue: 9-19-05 Parcel Identification Number: 015-221-40 Date Started: 9-25-05 Date Completed: 10-2-05 Is well located at approved permit location? ® Yes ❑ No Legal Description: Heritage Hills L - Property Owner Name & Address: CFM Hillside, LLC and W2ion L o� Ll 10380 Nigh Road `�� I W 19> Anchorage, Alaska 99515 l Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel silt 0 2 Wall Thickness: .250 inches gravelly silty sand 2 16 Diameter: 6 inches Depth: 325 feet silty gravel 16 24 Liner Type: Diameter: inches Depth: feet gravelly silt 24 27 Casing stickup above ground: 2 feet silty sand 27 56 Static water level (from ground level): feet gravel 56 59 Pumping level: feet after silty gravel 59 63 hours pumping gpm silty sand 63 91 Recovery Rate: gpm gravelly silt 91 105 Method of Testing: Well Intake Opening Type: silty gravel 105 179 gravelly silt 179 235 ❑ Open End ❑ Open Hole ❑ Screened Start feet Stopped feet silt 235 243 ❑ Perforations Start feet Stopped feet gravelly silt 243 262 Grout Type: bentonite granules Volume: 1 biz silty gravel wet 262 270 Depth: Start 0 feet Stopped ? feet gravelly silt 270 I%g Pump: Intake Depth feet bedrock 319 340 Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Comments: well was not completed due to loss of tools in bedrock. Enough flow could likely be obtained for a household at the 262 level by perforating. If not used, will be decommissioned after a new well is installed. Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage 99511 Zip Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property -1 --.--- -.. i7-- ----1, -A..n1-.. .1._11 .... ---•-1- - •---111-- 1.- af_. T----1_._.._.._• 0-.—.7_-..71..- 1.• -n .1--.. .r. -. ... ..1..a0-... MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SWO50352 Legal Description: HERITAGE HILLS #1 Tiv,=0r, Gor / Design Engineer: 0000 None Required Owner Name: CFM HILLSIDE, LLC Owner Address: 10380 NIGH ROAD ANCHORAGE. AK 99515 - Date Issued: Mar 07, 2006 Expiration Date: Mar 07, 2007 Parcel ID: 015-221-40 Site Address: 012241 BAINBRIDGE RD Lot Size: 2431955 SO. FT. Total Bedrooms: 6 Permit Bedrooms: 6 This permit is for the construction of: p 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 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 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. -WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. 4 -THIS PERMIT IS FOR THE PROPOSED HERITAGE HILLS #1 LOT 4 t Received By: Date: Issued By: Date: 3 7 OG Municipality of Anchorage Deveiopment Services Department oil'"`'� Building Safety Division _ On -Site Water and Wastewater Program 4700 Bragaw St P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907) 343.7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel 1. D.QIr-3-ca.t- 4,p-rm Permit Number SW Propertyowners) CFM . tom(` . Day phone 344 - 92VA Mailing Site adc Legal di Legal description (Section, Township & Range) SE. A. st=C. Aa -r fa ,A�23� S . M . Lot Size—A.?-5 otwrt Acres/Sq.Ft. Number of Bedrooms (O THIS APPLICATION IS FOR: Sewer Only ❑ Well Only 0 Sewer and Well ❑ 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. (Signature of property owner or authorized agent) Permit(Rush Fees: �'t S. 00 }.115=35oPWaiver Fees: Date of Payment: Date of Payment: Receipt Number. Receipt Number: (Rev. 09/04) J. A. MUNTF.R CONSULTING, INC. September 15, 2005 Mr. Dan Roth Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program PO Box 196650 Anchorage, AK 99519-6650 Re: Aquifer Test Plan, Heritage Hills Subdivision, Anchorage, Alaska Dear Mr. Roth: I am providing you this plan on behalf of the owners of the proposed Heritage lulls Subdivision to accompany well permit applications for the drilling and testing of four test wells at Heritage Hills Subdivision near the comer of Birch and Huffman Roads in Anchorage. Subsequent to the testing and approval phase for this project we anticipate converting the wells to private domestic wells and they will be located and constructed to meet municipal standards for residential wells. Our plan is to drill one test well on lot 35 to determine whether a sand and gravel aquifer is present in that area. Existing information indicates that the depth to bedrock in that area is more than 150 ft. Assuming that a sand and gravel aquifer is present, we propose to drill three additional test wells on lots 6, 55, and 56 in order to fully test the aquifer at heritage Hills Subdivision using the Municipality of Anchorage's "Aquifer Test Procedures" handout that you provide to us at our meeting yesterday. If a sand and gravel aquifer is not present at the site of the first well drilled, we will subsequently provide you with a plan and additional well permit applications for testing and evaluating the bedrock aquifer at the site. We have carefully selected the site of the proposed three -well test to be centrally located in the largest portion of the development. The locations of the proposed test wells are shown on the attached map of the subdivision. Should you have any questions about this plan or the attached well permit applications, please call me at 345-0165 or on my cell phone at 727-6310. Sincerely, J. A. Munter Consulting, Inc. James A. Munter, CGWP, CPG Principal Hydrogeologist 5701 PENNY CIRCLE, ANCHORAGE, AK, 99516 iamunternarctic.net PHHoNE(907)345-0165; FAx(907)348-8592 i co to In I � I 0tn N 00to C N N I� U) L .47 1 � v \ C Q N \C7 V lD 10 \O Ld � N N 1 0tn N 00to C N N I� U) L .47 1 �