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Home My WebLink AboutMOUNTAIN PARK ESTATES BLK 5 LT 2 MUNICIPALITY OF A NCHORA GE DEPARTMENT OF HEALTH & HUMAN SERVICES On.Site Services Transmittal Sheet The attached paperwork has been reviewed and is being returned for the following reason(s): crepa~O~3n ..... ' Discrepancy in number of bedrooms. Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. Calculation error in design. Ag-~.X~-T C~--~- Show locations of all soils, percolation or water table tests. Proposed system too deep for soil test submitted. Topographic information missing or inadequate. Narrative missing or inadequate. Additional soil/perc test needed. Sand filter requirements not satisfied. Water monitoring results missing or inadequate'because .,,.~/~ ~ ~ Incomplete; missing . ~,~ I,~; b~,~J~& , Please supply the necessary information and re-submi~ your .request. Y~ur cooperation is apD~eciated. LEAVE THIS FORM A ~ACHED TO PAPERWORK --- OCT 8 1995 _ Mun/o~pali~ ot Anchorage Dept. Health & Human ServJoe~ Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~W/ ~'~//,-~" PID Number: ~/7~/~ ~ Name: ~/ ~1'~ Wastewater System: - ~ New ~ Upgrade Address: 38~7 ~ ~ ~v~, ~ora~ q~o~ ABSORPTION FIELD Phone~ _~ 7~ No, of B~ooms: ~DeepTrench ~ Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION 'soi~ Rating:¢. ~ GPD/Sq. Ft Total Depthl from~loriginal grade: Subdiv~io~ Depth to pipe bottom from originsl grade: Gravel depth beneath pipe Lot: ~ Block: ~ ~OUn~-[ h ~r~~ 3' Ft ~' ~ Ft. Township: Range: Section: Fill added above original grade: Gravel length: ~ ..... _ Gravel width: t Number ~f lines: Distance between lines: WELL: ~, 5 ~.- ~. Ciassificatie iO~ ~~ Total absorption area: Pi~a~ia,:. Driller: d: Installer: Date install Yield: d: TANK ~ '~ ~ ~,¢6 ~ ~ ~Septio ~ Holding ~ S.T.E.P. te Manufacturer: Capacity in gallons: ~steri~l: ~ Number of Oom~srtments: Web SurfaCewater '~) ~¢uu ~' ~o7 l~/~ 5+~1 Lot ~ O~ 'O~'t'~ ?~ Size in gallons: M.n.faoh[re~T sTATION Foundat,onLine ~ CO~~ r~ ~ ~''' "Pump on"levela~poff"lovelat: [ High water alarm at: I CurtainDrain Pump/Ma~l Electrical Inspections pe~ormed by: Remarks: BENCH ~ARK Location and Description: ~g~ ~F ~ [ Assumed Elevation: ~ c>/~"*'/" ~ .:~h0. ",~'f~ Inspections performed by:slsEN°INEERINO~ 1st '7-¢¢ ~'%~; ~2~' ' Eagle River, AI~Ea 995~ 2nd ¢' 7- ~ ,~,~,~]....~, % ,O~ERTCE - 8801C' CO ~;'ffF"~"~ Department of Health and Human Services approval ,.,,,c,,~ ,.,.:,"".-...,-,,,,,, ..... ,~,., ......... Reviewed and approved by: Date: ~*~u~ 72-013 (Rev. 9/91) MOA 25 Permit No. SW940115 2 2 Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LOT 2, BLOCK 5, MOUNTAIN PARK EST. 01706122 Legal Description: PID No.: CO1 = 101.4' $ .1 $T,2 MT1 C0~ ~Cc0n = 99.6' 101.4' *FINAL GRAD[ -~__ MT2 --*FINAL GRADE ~ 0 1~50 GAL , CO1 S,T, *FINAL GR~D1NG TO BE CO2 96J COMPLE~ ED AFTER FOUNDATIO~ COMPLETION ~i 4.-1-94 co2 NEW T~ENCH ~ ~ AS OF 0-5-96, S"AiqD PIPES f'k~ N~ ~ ~ LOCATE) BY MEANS OF AS-BUlL x~~ ~ SURVEY PERFORMED BY: c WII.LIAM D. F_EMING N ALT SITE~ '~ ~co~ ~N ~"~P~EW 125C GAL 0 ~ SEPTIC uruomu / ' 0 USE -- ELi RAI)IUS ~i ;/~, ~ ?~ ' ~,.:~.. ¢,~, ,~,.~,,~..~ .... ., (NOT DRILLED sc~ = ~o' AS OF i0-,~-96) *NOTE: PROP 3SED WELL LOCATION REVISED ~'~ 6-2-95 72~13 A (R~ ~. 9/91) MOA 25 ROBERT C. COWAN, P.E. ROBERT A. SHAFER, RE. HEALTH AUTHORI3Y ~PPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANtCAL INSPECTIONS ONSITE W~TEWATER DISPOSAL SYSTEM DESIGN Date: Municipality of Anchorage Land Use Office Attn: Dan Bol~s 3500 E. Tudor Street Anchorage, AK 99507 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 The sept/c inspectio~ for the referenced property were performed on ~-7-~and ~-7-~ . Prior to submitt/ng the ~-n-~it~ W~st~at~r ~s~s~ s~st~,i~,~,'~.~ w~ Insp~c~on R~port w~ ar~ w~n~ for th~ ~ to b~ completed. ~ ~'7~) If WZ ma~ bz of furth~ s~vic~ plzas~ conta~ us. Sincerely, 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 ° EAGLE RIVER, ALASKA 99577 Rick Mystrom. Mayor Mtmicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 May 4, 1995 Allen E & Cathy J Smith 3801 East 86th Avenue Anchorage, Alaska 99507 3662 Subject: Lot 2 Block 5 Mountain Park Estates Subdivision Permit #SW940115, PID #017-061-22 The subject permit, issued May 4, 1994 by this office for a single family well and/or on-si~e wastewater system, has expired as of May 4, 1995. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater perm,'t; "~'J'~ ~ ~,.00 ~or a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any ~uest±ons, please call this office at 343-4744. Sincerely, James Cross, P.E. Program Manager On-site Services enc: Copy of Permit. cc: S & S Engineering PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE J~" DEPARTMENT OF HEALTH AND HUMAN SERVICES ~'~ P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940115 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SMITH ALLEN E & CATHY J OWNER ADDRESS:3801 EAST 86TH AV. ANCHORAGE, AK 99507-3662 DATE ISSUED: 5/04/94 EXPIRATION DATE: 5/04/95 PARCEL ID:01706122 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES BLK LT 2 LOT SIZE: 45000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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). 3o THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 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: ISSUED BY:'/~/~/"~~'~/ ~_- DATE: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. April 28, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Mountain Park Estates; Lot 2; Block 5 Request you issue a permit to drill a well and install a septic system to serve the proposed four bedro~houseonthe referenced property. Two test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. The monitoring tubes within the test holes have been checked and found to be dry. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have/~m~y questions r~view~/p~asTcontact us. /S/LSU/jk , or require additional information for your 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 1" = 50' $OALE SIIE PLAN O~ ~-~0 ---- ~x~l D(~EVl EW DRIVE ~~- 10' UTIL ESMT 100' WELL RADIUS ~oo o~O 0 ON-SITE WASTEWATER DISPOSAL SYSTf~W CONSTRUCTION PRACTICES and MA'£~IAL SPECIFICATIONS REFERENCE: Mountain Park Estates; Lot 2; Block 5 1. The scope of this project includes the installation of a 1250 gallon septic tank and a leachfield trench to serve the proposed four bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank manufacturer. access. is to be constructed by a certified septic tank Construction shall include two 4" cleanouts for pumping 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4' of cover shall be insulated. Page Two Mountain Park Estates; Lot 2; Block 5 April 28, 1994 o A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10' from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (roughed-up) before gravel (sewer rock) placement. 2e Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. o Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 1. MAT~IAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed Municipally approved septic tank manufacturer. by a Page Three Mountain Park Estates; Lot 2; Block 5 April 28, 1994 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: 6e Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. iNSPeCTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. Page Four Mountain Park Estates; Lot 2; Block 5 April 28, 1994 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPI~CTIONS: Typically there will be a minimum of three (3) installation of the wastewater disposal system. follows: inspections required during the These inspections will occur as The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION:/~ ~ /.~_._~ '~ (ENG EER'S SEAL) ~ I E$7 Township, Range, Section: SLOPE SITE PLAN 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O WASGROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water A~ .o.,,o,,.0? Reading Date Gross Net Depth to Net Time Time Water Drop /- ' /:0'~ - 3~/~' PERCOLATION RATE .._.c.~.~ (m~nutes/mch) PERC HOLE DIAMETER /o /' TEST RUN BETWEEN ~D '~- FT COMMENTS /,/ .,/ $&$ ENGINEEEING ~ / 17034 Eagle River Loop Road No. 204 PERFORMED,.~Y,~ .......... I // / ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES I~FE~)N THIS DATE. DATE: 72-008 (Rev. 4185) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCR'PT'O :L /3 , 1 2 4 § 7 8 10 12 13 14 17 ~ ~,O,~, 19 20 DATE Township, Range, Section: SLOPE WAS GROUND WATER /J\)~ ENCOUNTERED? S IF YES, AT WHAT -,~ ~ DEPTH? p E (ENGINEER'S SEAL) SITE PLAN Depth to Water After Reading Date Gross Net Depth to Net Time Time Water Drop ~1 ff 10,~1.~ ~1Y~' PERCOLATION RATE ~/~) (m,nutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ AND ~) FT // COMMENTS 17034 Eagle River Loop Road Ho. 204 /// ~ PERFORMED BY: ~-~tjJ~ ~J---~;~, ~----~n-- 9~ I///////// ~ CERTIFY THAT THIS TEST WAS PERFORMED IN STATE AND MUNICIPAL GUIDELINES/~FE¢ON THIS DATE. DATE: ACCORDANCE WITH ALL 72-008 (Rev. 4/85) / RECEIVED '-~ r, .~ ,i. OCT 28 1997 Municipality el ^ncno~age Oept, Health & Human Services 15. 1997 8~:01 ETATI~ OF ALAIIK~ DEPARTMEI~r OF NATUKRL ItE$0URCE8 DIVISION OF WATIiI~ WATER WELL RECORD ~LL DISINFECT~ UPON COMe. ION1 ~ES ~ NO '"... r~ ........ ~AIL WHITE COPY OF LOG i"l o~hor 0 puW~ e~pply D other U perforate~ O open hot~ Slot/Mesh S1~8: G~VEL ~ACK TYP~ Do,th tu tGP. LO_~I~ON OF WELL I~/~ )'::~ . i ' -/-'--.=='~ ............. LOCAT~nNISK~: oE~fl~ M~vRED FROM~esl~ ,o~ ~O,o~d su~a~ II wet~ D~TH:. DATE OF COMPL~I~ Mlter~ Typ~ e~ Color From .............. . L.~...L.~..~ co?.Y MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW960322 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SMITH ALLEN E & CATHY J OWNER ADDRESS:3801 E 86TH AVE. ANCHORAGE, ALASKA 99507 PARCEL ID:01706122 DATE ISSUED:10/01/96 EXPIRATION DATE:10/01/97 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES ELK 5 LT 2 LOT SIZE: 45000 {SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL 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 (iSAAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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: WELL INSTALLATION MUST BE IN ACCORDANCE WIT~ ENGINEERS SITE PLAN DATED ~ O~/~ Z~'~'~'-~ -'~ WELL INSTALLATION MUST BE IN ACCORDANCE WITH THE NEW REVISED WELL ORD i C AMC .55 (AMENDED 08/13/96). RECEIVED BY: ~~~ ISSUED BY: ~ Rick Mystrom. Mayor Municipali of Anchorage Department of Health and Human Services 825 "L' Street P.O. Box 196650 Anchorage, Alaska99519-6650 343-4744 August 29, 1996 Allen E Smith Cathy J Smith 3801 East 86th Avenue Anchorage, Alaska 99507 3662 Subject: Lot 2 Block 5 Mountain Park Estates Subdivision Permit #SW950248, PID #017-061-22 The subject permit, issued August 29, 1995 by this office for a single family well and/or on-site wastewater system, has expired as of August 29, 1996. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. Ail inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. ely, ~ J a/~e~ Cross, P.E. PDogram Manager On-site Services enc: Copy of Permit cc: S & S Engineering 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 WELL SYSTEM PERMIT PERMIT NUMBER:SW950248 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SMITH ALLEN E & CATHY J OWNER ADDRESS:13301 RIDGEVIEW DR ANCHORAGE, AK 99516 DATE ISSUED: 8/29/95 EXPIRATION DATE: 8/29/96 PARCEL ID:01706122 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES ELK 5 LT 2 LOT SIZE: 45000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL 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 (18AACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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: ISSUED BY: /~-~'-~ / DATE: ¢i~/! /~'' DATE: .~.~ 8GALE RIDGEVIEW I mr,50 ho ~m----4 ~ 0 eom 10' UTIL ESIdT ~g 100' WELL RADIUS o5~=o ~mZZ~m ~ Zz zo