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Home My WebLink AboutT12N R3W SEC 26 NW4NW4NW4NE4NE4 E2W2NW4NE4NE4MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program 0=s. PO Box 196650 4700 Elmore Road �- Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite v )cepaI- tment On -Site Wastewater Disposal System Permit Permit Number: OSP201217 Effective Date: 7/13/2020 Work Type: Septic Upgrade Expiration Date: 7/13/2021 Tax Code Number: 01743236000 Site Legal Address: T12N R3W SEC 26 NW4NW4NW4NE4NE4 E2W2NW4NE4NE4 G:2839 Site Mailing Address: 7040 Huffman RD, Anchorage Owner: HOLT JAMES D & KATHLEEN A Lot Size in Sq Ft: 136125 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 5 This permit is for the construction of: Q Disposal Field ❑ 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 Received By: Date: Issued By: Date. 70 MUNICIPALITY OF ANCHORAGE Development Services Department _ Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-432-36 Property owner(s) JIM HOLT Mailing address 16136 DIVISION ST, ANCH AK Site address 7086 HUFFMAN RD, ANCH AK Day phone Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T12N R3W SEC 26 NW4NW4NW4NE4NE4 E2W2NW4NE4NE4 Lot Size 1361,25 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field 0 Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank ElUpgrade 0 Duplex (D) ElHolding Tank F-1Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ i THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: r Distance: rt 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: ` L o&-2 Waiver Fees: Date of Payment: & a Date of Payment: Receipt Number: 626964 Receipt Number: Permit No. D S P 20 12..17 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc . r. COV1D- 19 , 2576 DISCOUNT ear, ,_ Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 June 21, 2020 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New Septic Permit Legal: T12N, R3W, SEC26,NW4NW4NW4NE4NE4W2NW4NE4NE4 To Whom it may concern: This is a request for a septic permit on the above referenced lot. The owner is requesting we add the secondary trench system, everything else has been installed. The soils consisted of organics then silty sands down to 6 feet then sandy gravels (GP/SP) below that with the perc rate of 3 minutes per inch. No water was observed in the test hole during excavation or after the 7 day monitoring period. The proposed design consists of a deep trench with 6 feet of effective depth and an application rate of 1.0 gpd/sf. The well is existing and all of the lots in Greenbrook Subdivision are serviced by a community well. The proposed developed lot is large with no slopes or cut banks greater than 25 percent within 100 feet of the proposed leach field. The lot slopes gently to the southwest at about 3 to 6 percent and none of the neighboring lots will be impacted by this design. Please call me if you have any questions. Sincerely Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201217, Rebecca Carroll, 07/13/20 1"=150'SCALE: DJRDRAWN: DATE: T12N, R3W, SEC 26, NW4NW4NW4NE4NE4E2W2NW4NE4NE4 Anchorage, Alaska JIM & CATHY HOLT 6/22/2020 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201217, Rebecca Carroll, 07/13/20 SCALE: DJRDRAWN: DATE: T12N, R3W, SEC 26, NW4NW4NW4NE4NE4E2W2NW4NE4NE4 Anchorage, Alaska JIM & CATHY HOLT 6/22/2020 1"=50' Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201217, Rebecca Carroll, 07/13/20 Certified Drilling Log P DOC CO dba BILL 8c COLE ULLIUAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2758 OWNER OF LAND: James Holt Bore Hole Data ADDRESS: 1919 Dimond Drive, Anchorage, AK 99507 Depth LEGAL DESCRIPTION T12N R3W SEC 26 NW4NW4NW4 From To DATE: 6-15-16 0 2 PERMIT NUMBER: OSP161138 DATE OF ISSUE: 6-13-16 7 Sand & Gravel TAX IDENTIFICATION -NUMBER- 01743236000 Silty Sand & Gravel 33 Boulder Is well located at approved permit location: ®Yes ❑No Silty Sand & Gravel 4 Method of Drilling: ®air rotary ❑cable tool 170 Bedrock Gray 7 Depth of Well: 300' 31 Casing Type: Steel Wall thickness .250 inches 33 Diameter: 6 inches, depth 64 feet Liner type 58 Static Water Level: 40 feet 69 Recovery Rate 5 ® gpm ❑ gph 170 Method of Testing Air Well Intake Opening Type: ❑ open end ®open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: WATER QUALFTY TESTING Coliform N e� 100mL Nitrates t o loti ArwNc Casing Stickup 4 . Overburden__7 _. -Overburden-- 7 Sand & Gravel 31 Silty Sand & Gravel 33 Boulder 58 Silty Sand & Gravel 69 Bedrock Brown 170 Bedrock Gray 183 Bedrock Gray w/ Quartz 183 1 212 Bedrock Gray 212 229 Bedrock Gray w/ Quartz 229 300 Bedrock Gray 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. Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road G P.O. Box 196650 e, AK 99507 Anchorage, Mark Begich g Mayor www.muni.org/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: 01 - q S Z - 3 ( -Legal Description- -- --_ _- _ - _-- -__- _ _ . . _ __ _ �12 'Z, e, e- Z.� V`I �1 Al.W � l� ►� N �t �l N '� Property -Owner -Name-& Address:--.---.- ��^-l-f-- 15U 9 lCo Pump Installation Date: GZp Pump Intake Depth Below Top of Well Casing: S00feet Pump Manufacturer's Name: Pump Model: Pump Size hp Pitless Adapter Burial Depth: feet Name: pqL,�er Pitless Adapter Manufacturer's Pitless Adapter Installer: Well Disinfected Upon Completion? 9 Yes ❑ No Method of Disinfection: PPC (e-5 Comments: n��°e+ ANCHORAGE WELL & PUMP SERV. Pump Installer Name: ki �° 330 EAST 76TH AVENUE ANCHORAGE, AK 99518 PHONE: 907-243-0740 AW PS.COM Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Rick Mysl¢om, Mayor Mmdcipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 4, 1995 California ludustrial Resource Facilities Inc. 1800 W. Hoteco Avenue Aucborage, AK 99502-1135 Subject: TI2N, R3W, Sec. 26, NW4NW4NW4NE4 NE4, SE4SW4NW4NE4NE4, E2NW4NW4 Pernfit #SW930277, Parcel ID #017-432-36 Dear Califoraia Industrial: Tile subject permit, issued August 10, 1993 by this office for a single family well and/or oa-site wastewater system, has expired as of Augost 1(1, 1994. A new permit must be obtained froiB this office for a well aud/or on-site wastewater systeln NOT installed by the expiration date. If you have ch'illed the well, a well log must be sent to this office for documentation of tile installatiou and to close the permit. If tile on-site wastewater systeln has beea completed and a licensed Professioaal Engineer has inspected the installatiou of the oa-site wastewater system, the original as-built inspectiou report must be sent to this office for review, approval and documentation. All iuspection reports U3tlSt be submitted within 30 clays of coastruction completion. When applying for a uew permit, tile fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit aud $440.00 for a combined on-site wastewater aud well permit. If you have any questions, please call this office at 343-4744. Sin~rely,, /~ Jpllles Cross, P.E. Program Mauager Ou-Site Services JC/kb cc: Michael Anderson, P.E. PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930277 DESIGN ENGINEER:~O.N~=L~=~E-NS-H~W~;~J-R. OWNER NAME:CALIFORNIA INDUSTRAIL OWNER ADDRESS:7100 HUFFMAN RD ANCHORAGE, AL 99516 DATE ISSUED: 8/10/93 EXPIRATION DATE: 8/10/94 PARCEL ID:01743236 LEGAL DESCRIPTION: T12N R3W SEC 26 NW4NW4NW4NE4 N E4,SE4SW4NW4NE4NE4,E2NW~NW4 LOT SIZE: 36125 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ,/Z/,~/-/Z~' / / DATE ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 July 30, 1993 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: E2W2NW4NE4NE4 and NW4NW4NW4NE4NE4S26T12NR3W Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: The drainfield on the subject lot was abandoned in 1975 and a replacement is required to served the proposed new home. Testholes and percolation data indicate a shallow trench replacement system will adequately dispose of effluent generated in the three bedroom home. Drainage on the property is from east to west and is fairly flat. No groundwater was encountered during testhole excavation. If the system is constructed in accordance with the attached design the following statements can be made: The system, if constructed as designed, will have no adverse impact on the wells currently in use or to be placed in the future on lots in the area. 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. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. ' Sincerely, Michael E. Anderson, P.E. ~ichc~el I~. An~orson CHECKED DY DATE CALCULATED BY. DATE CHECKED BY CATE SCALE tfiichcml E, Anderson 4381 - E Municipalily of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED ~2,. DATE PEI LEGAL DESCRIPTION: I~l~A~ ~/~.. k[V~/~-. ~Jl~,~. ~l~/~r- Township, Range, Section: SLOPE SITE PLAN 1 18- 19- 20- III I1'1" WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT / 0L DEPTH? p E Depl~ ~ Wilar After ~ 12,~ J Monituiflg? ~ ~a~ ! ~ Reading Date Gros~ Net Depth to Net ~ Time Time Water Drop ~ ' ~:+~ I~ ~,~ ' f,,'~ COMMENTS PERCOLATION RATE · (minutes/tach) PERC HOLE DIAMETER · FTAND ~.'/~ FT ' ' r - "~UERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 98502-0650 SOILS LOG -- PERCOLATION TEST 1 6 7 8 9 10 11 12 13 14 15 16 17 18- 19- 20- COMMENTS DATE PERF( Township, Range, Section: SLOPE · ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth. W.r ~lar .~. MortifYing? ~ Gross Net Depth to Net Reading Date Time Time Water Drop e~r..~ ,v '" 1:[~11;~ Id ~.~/I~,~ Lib ~rd ~ i~11:~ I~ i~'/I~ I.~ ~ ~ + ~/1'~ ~¢ I¢.1~/i~,~ I,~ '~P~ ~ J~ ~b ~ ~Z~/1~51 TE TRU. eETWEE. Y FTA.O FT I PERFORMED aY: r I ~' 4~ ,t',ZL~ ~--~-- T~FY THAT TH/IS T~ST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/~) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description T12N; R3W; Sec 26; NW4~ NW4~ NW4~ NE4~ NE4~ and E2: W2; NW4: NE4~ NE4 Location (site address or directions) . 7040 Huffman Road Doug Hotes C/O Jim Ridgeway Property owner Mailing address Lending agency Mailin. g address Agent Anchoraqe, AK Day phone 6401 Tanaina Dr. Anchorage~ AK Day Phone Day phone Address 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. N/A NOTE: 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual well X× Community well Public water If community well system, provide written confirmation from State AD£C attest- ing to the legality and status of system. (no septic installed yet) individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effe~/6'~i~l~e~(~C,X:~'~h,s ,nspect,on. Name of Firm . ~9~ ~e~r R~ad, shire 2B Phone Address ' ~(~4 ~/ /~ .~ Y~ . Date / ¢8 ~ Wastewater Consultants, Inc. Shall be PAID or prior to, clo?h ,; the Engineerin 5eCv{c ? Provided. DHHS SIGNATURE ~/ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with ti're following stipulations: Additional Comments By: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. (Rev. 1/91} ~ack MOA #21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SEf~I~E~I~ oF ANCHURAG[ Environmental Services Divisior~Nv[~°NMENfA~'s[Rwc[s 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: A. WELL DATA T12N, RSW, SEC. 26; NW 1/4, NW 1/4., Parcel I.D.: NW 1/4, NE 1/4, NE 1/4, AND E 1/2, W 1/2, NW 1/4-, NW 1/4, NE 1/4- Well type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number N/A Log present (Y/N) NO Date completed Total depth *,~5' Cased to ,45' UNKNOWN Casing height (above ground) 2'+ Sanitary seal (Y/N) YES * ANCHORAGE WELL & I PUMP SERVICE RAN CASING FROM WELL LOG SOUNDER DOWN WELL. Date of test Static water level Well production ~ g.p.m. Wirespropedyprotected(Y/N) AT INSPECTION 11/23/99 N~ CASING. 32' 8.1 g.p.m. WATER SAMPLE RESULTS: Coliform 0 Nitrate 8.32 mq/L Other bacteria 0 Date of sample: 11/8/99 & 11/23/99 Collected by: A.W.P.S. & A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA THIS IS UNDEVELOPED LAND WITH A WELL ONLY. A SEPTIC SYSTEM HAS NOT BEEN INSTALLED AT THIS TIME. Date installed Tank size Number of Compadments ~) Foundation cleanout (Y/N) ~rm (Y/N) Date of Pum..p.~g-~ C. ABSORPTION FIELD DATA Pumper Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) Length Width Gravel thickness below pipe ~ Effective absorption area Monitoring Tube pre--sion over field (Y/N) Date of adequacy test ~ail) For Fluid depth in absorption field bef~e49"~(in.); Immediately after gal. water added (in.): Fluid depth ~nutes later: Absorption rate = g.p.d. ~nt (past 12 months) (Y/N) If yes, give date System type bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION ~ Date installed Size in gallon.~s Manhole/Access (Y/N) "Pu~ "Pump off" level at* High water alarm level at* ~ *Datum E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot NOT INSTAl ~ Fr) On adjacent lots 100'+ Absorption field on lot NOT INSTALLED On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/claanout N/A Sewer/septic service line NOT INSTALLED Lift station N/A F. HAA Fee $ ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation Property line Absorption field , Water main/service line .Surface water/drainage ~nt lots SEPARATION DISTANCE FROM ABSORPTION~ TO: Property line ~ndation __ Water main/service line Surface water ~ Driveway, parking/vehicle storage area Cur~ Wells on adjacent lots ENGINEER'S CERTIFICATIOf') 'cerlifythat/~a~'d¢~'~'fieldinspecti°ns and review of Municipa ~a, ,~,~r~s are ,S: gCnOa; ufOrr: ~,~ i~ ~ d_ elin~esin effectonthisdate. Eng neer's Narr?~ ~-'~Fy A. nARNFRR Date -7. 3 Date of Payment '~/~/¢~ Receipt Number ~ ,.~..~ ¢ ~2 Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)*