HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 8 LT 1Mountain Park
Estates
Block 8
Lot 1
017-391-41
EXPIRED PERMIT
Maricle, Kathleen R.
From:
RI -Stoltenberg [rlstolt@acsalaska.net]
Sent:
Tuesday, January 23, 200712:07 PM
To:
Maricle, Kathleen R.
Subject:
Well Permit Status
Kathy, further to our telecon this date, please be advised that no new
well was drilled pursuant to my outstanding well permit for the
residence at 5800 Bristol Drive, Anch AK 99516 (Mountain Park Estates
Blk 8 Lt 1). Thank you, Robert L Stoltenberg
Mtmicipality of Anchorage
C ,�'^!-.h_1
1:0. D)x IT,(Z0 • .Vlchomgc, Alnslm!M.)519 (iN) • Tcicllhunc (!X)7) 313 fi301 • Fxx (007) 313.82( )
470011mgaw Sired • Anchumge, Ahislui M517
Mayor Mark Begich
12 December 05
Robert Stoltenbert
5800 Bristol
Anchorage, AK 99516-3104
"I""1uml.org
Building Safety Di-tislon
Subject: Expired On -Site Water and/or Wastewater Permit
Permit Number: SWO50006
Legal Description: Mountain Park Estates Block 8 Lot 1
Dear Mr. Stoltenberg:
An On -Site Water/Wastewater Permit, number sw050006, issued by this office for a single-family
system, will expire on 7 Jan 05. This permit was valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report must be
sent to this office for review, approval and documentation. This as -built inspection report must be
signed by the licensed Professional Engineer who inspected the installation of the system. As -built
inspection reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. When applying for a new permit,
the fees are: $460.00 for a wastewater permit and $175.00 for a well permit.
If you have any questions, please call this office at 343-7904.
Sincerely,
&C-111-4- P_ 011 -VII
Daniel J. Roth
Program Manager
On -Site Water and Wastewater Program
Enc: Copy of permit
C0771 11unity, Security, Prosperity
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 6 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Upgrade
Permit Number: SWO50006
Legal Description: MOUNTAIN PARK ESTATES BLK 8 LT 1
Design Engineer: 0000 None Required
Owner Name: ROBERT STOLTENBERG
Owner Address: 5800 BRISTOL
ANCHORAGE. AK 99516-3104
Date Issued: Jan 07, 2005
Expiration Date: Jan 07, 2006
Parcel ID: 017-391-41
Site Address: 005800 BRISTOL DR
Lot Size: 20600 SO. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑ 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.
The existing well, located in right-of-way of Bristol Drive/Birch Road, shall be permanently decommissioned in
accordance with AMC 15.55. Decommissioning must be completed within 14 days of installation of the new well,
Including installation of the pitiess adapter and connection to the dwelling, and determination of adaquate water
supply.
Received By.
Issued By.
Date: 1-7
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.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.C)11�(may I Permit Number SW
Property owner(s)
z 3e4
I-.. "6A. 14
r23
Day phone(S07_)zgS-.-W1 �
Mailing addressTCQ
c>'Or,,,-4e1
-Z:>- rye
Zip Code 99,571 a
Site address
Code
Legal description (Lot, Block & Sub'd.) �_.V I P-1? Io ck % r'iftw%% -a'c�� C%�� e'
Legal description (Section, Township & Range)
Lot Size '; (n I Acres q.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms
3
Sewer Only ❑ Well Only ' R
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
Permit/Rush Fees: 01 I -10S !fD Waiver Fees:
Date of Payment: _ Date of Payment:
Receipt Number. L*W cJN.(�C\ Receipt Number.
(Rev. 09/04)
1 eccl �
weld
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ZONED : f4- 6
FIELD BOOK: 6 -
ALE: 14= 40' PLOT PLAN AS -BUIL -P X GRID: DRAWN BY:MCGL CHECKED BY -Dr -M
&S ENGINEERS, INC.
HEFEBY CERTIFY T1UT 3 HAYS THE FOLLOWING DESCRIBED PROPERTY,
MO NT•.
OT 1 MX.6 Er. -F. -re -s bucc. ANCHORAGE RECORDING DISTRI
AO THAT THE IMPIOVEMENTS SITUATED 7HEREON ARE WITHIN THE PROPERTY LINES
AD DO NOT ENCROACH ON THE PROPERTY LYING ADJACENT THERETO. THAT NO
MFROVEIENTS ON PROPERTY LYING ADJACENT.THFAETO 04MUCH ON THE PREMISES
'N OUFSTION AND TWIT THERE ARE NO ROADWAYS• TRANSMISSION LINES OR OTHER
'ISIBLE EASEMENTS ON SAID PROPERTY EXCEPT AS INDICATED HEREON.
1ATED THIS te;b"DAY OF FEC.. 10 O4: ANCHORAGE ALILSKA.
T IS THE RE"ISIBILITY OF THE OWNER OR BUADER PRION TO CONSTR)CTIOK
.0 VERIFY pNOpOSEO BUILDING GRADE RELATIVE TO FINISH SUM AND UTILITY
MNMECTIONS AND TO OETEANINE THE EXISTENCE OF ANY EASEMENTS. COVENANTS
.e. neHeTlRIeYG wvf m u T .owso m K KI cm "MTVTclI d AT
7125 OLD SEWARD HWY.
ANCHORAGE. ALASKA 99502
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTcCTION`��ENVIRONMENTAL ENGINEERING DIVISION �'11�.,� T�, .� (n*)
825 L Street - Anchorage, Alaska 99501 Telephone 264.4720
- IeoneAI evcTr:M AMID/OR WELL INSPECTION REPORT
PHONE NEW
NAME
�`�"` �'%�, OUPGRADE
Ahr I _.
II
MAILINGADD(SS
LEGAL DE'S\C(RyIPTIO j' - / + 1 `t _ _s
1
-ca
LQ
( l
I
� o'I' ` `'=.i
NO.OF BEDROOMS -
LOCATION
3
Well Absorption area j
Well
Dwelling
PERMIT N
pa
DISTANCE TO: I'�f-, ((,%I
U y
Materi i
No. of compartments
_
aQ Manufacturer -t'
w h\ Y l Inside length
v' Liu. capaC'tyjn alions IFHOMEM E:
Width
Liquid depth
E_
Well Dwelling
PERMIT NO.
9 z DISTANCE TO:
O?
Material
Liquid capacity in gallons
Q Manufacturer
x r
Welles ��, Foundation f
Nearest lot line / I
/CEJ
PERMI
O ;.
-I y- DISTANCE TO: ;� 1 " -
T — 1 j� Total length of Iine�J
� No. of lines -� Lengtt )of ch lyn�j
Trench widtl (finches
Distance between lines
Z w t
�Y I y/ Material beneath the
finish
\finches
Total effective ab 9rption arta /
% / i
a Top of tile to grade
Length Width Depth
PERMIT NO.
Lu
Q H
as
Type of crib
Crib diameter
Crib depth
Total effective absorption area
LU
Well
Building foundation
Nearest lot line
y
DISTANCE TO:
Driller
Distance to lot line
PERMIT NO.
Class
r
Depth
Lu Building foundation Sewer line
Septic
tank
Absorption
area(s)
DISTANCE TO:
OTHER
PIPE MATERIALS
SOI L TEST RATIN
INSTALLER
REMAR
U
r
r.=
li
DATE
APPROVED
LEGAL
_
��K
��
l(;
-1
�l 11
- ._..� ����� �I.::::- �����
DEP�R1"11EI'AT HEHLT1-1 HND ENVIpi: ONMENTHL FTECTION
8�5 'L' ST�EET/ HNCHORHGE/ HK� 99501 «
264~4720
� ���� ������
PERMIT NO ( 8]046] )
HPPLICHNT GORDON WOLFE 1241 FRIP.IDLY LHI%IE #1 99504 ]]7~4884
LOCHTION
L�GHL MTPHRK �STHTES B8L1 LOT SIZE 999999 SQUHRE FEET
TYPE OF SOIL H�SORPTION SYSTEM IS� TRENCH
MHXIMUM NUMBER OF SOIL RATING (SQ FT/BR)� 265
THE REQUIRED SIZE OF THE SO f!.... HBSORPTION SYSTEM IS�
q������ ��� ����� H- E`
THE LENGTH DIMENSIClN IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE
GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET)
THERE IS NO SET WIDTH FOR TRENCHES
THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE
HND THE BOTTOM OF THE EXCHVHTION (IN FEET).
j����� �����
PERMIT HPPLICHNT HAS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE
INSTHLLHTION I�SPECTIONS OF HNY WELLS ADJACENT TO THIS PROPERTY HND THE
NUMBER OF RESID�NCES THA -I" THE WELL WILL SERVE
�P_.R T lot Fe E.--. _11 3E IFR E�
LLING OF HNY SYSTEM WiT���T FINAL.IDEPARTN�P�CT��N HND HPPROVHL Ur' THIS
~^~^~MENT WfLL BE SUBJECT TO PRO�ECUTION
MINIMUM DI�THNCE BETWEEN H WELL H-11'.) ANY ON-SITE SEWHGE DI5POSHL SYSTEMI'S
100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WL ELbEPENV1
UPON THE TYPE OF PUBLIC WELLTE WELL TO H pRIyHT� SEWER LINE IS 25 FEET HND
MINIMUM DISTHNCE FROM H PRI ;M
TO H COMMUNITY SEWER LINE IS 75 FEET�TURNED TO THE DEpHRTMENT WITHIN ]0 DAYS
WELL LOGS HRE REQUIRED HND MUST BE KE
OF THE WELL COMPLETION�HppLy� SpECIFICHTIONS HND CONSTRUCTION DIHGRHMS HRE
OTHER REQUIREMENTS MHY
RVHILHBLE TO INSURE PROPER INSTHLLHTION
�
��������� ������� ����������
I CERTIFYATHHT�R WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS HS SET
�1�}
FORTH BY THE MUNICIPHLITY OF HNCHORHGE�
2 I WILL INSTRLL THE SYSTEM IN HCCORDHNCE WITH T�E CODES
]� I UNDERSTHND THHT THE ON-SITE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE
RSIDENCE IS REMODELED TO I@CLUDE MORE THHN ] BEDROOMS.
HICHNTGORDON WOLFE^
'
� ��
U�/ ''''4 0
� / ��-�~~V�' ����"� D|�l[E ~�--�_~�_~�_-^-`'
I��U�D BY.~__^��-L4~~�~~`~~~~���^��~� ^ ~^~~^ -~^^^~�
n,o��C. ; �_. y /vtrrAsct�rc mow,
b � F �i.�. o b�E �5
h �..—# WteaSu,kS,rru��' t.4r1�
� r
_ es• s�17� �„_I��...::Li+l"�"�`�4'�.5�..!�^j,.pl��F/iti
' � �.... _l�n .n._a jr-
❑ SOILS LOG
—_ MUNICIPALITY OF ANCHORAGE
❑ PERCOLATION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST
1 / 825 L. Street, Anchorage, Alaska 99501 264-4720
\' SOILS LOG — PERCOLATION TEST
PERFORMED FOR: I!�.1� �JJ —DATE PERFORMED: Z)C `J
LEGAL DESCRIPTION: G' 4� X—k L01
l
SLOPESITE PLAN
y�� 1l
1
2
3
4
5
6
7
s
9"
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
PERFORMED BY:
72-008 (6/79)
C11V 2L'C&k ✓t'
PC
WAS GROUND WATER 7 S
ENCOUNTERED? t-/ L
0
P
E
IF YES, AT WHAT
DEPTH?
PERCOLATION RATE
TEST RUN BETWEEN
CERTIFIED BY;
4j •— (;minutes/inch)
FT AND FT
DATE: /_f—?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
tl
3 30
z
9, 39
/0
70
0'7
9 Al
10
toy
043
r 2
9'SP
L8
/0"tyn
/b
�d5'
1065
/0: ?0
PERCOLATION RATE
TEST RUN BETWEEN
CERTIFIED BY;
4j •— (;minutes/inch)
FT AND FT
DATE: /_f—?
Box 1369, STAR ]lOlo'TE A A.N'CHORAGI~ ALASKA 99502
8~-7714
SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 3 e'n ""' '~''
DRILLED AT THE RATE OF ' "'~ PER FOOT. ~_~,~.~
PROPERTY OWNER ~'"~'~- y' "n]'~ ~''~ ~. 7~7 ~'~ ~'
LOCATION OF ~KLL SITF ~' ......... v
DRILLER ~:'~ Ct~'" ~' ~''' ..... .~.. ~).t.I.I.I.~-
WELL LOG:
~. .... ~. ...e~l'*. ..... ,,,.~. . ,~'~.... .~'; ~.CU.
-.- '- ' ~:~.Lf.~ 75:; cLc7.
7~---13!~ Co ~: ~ -,, ..~.,--~ .... ~-~.~J_. ar~.'.
727--7~.-~'~'~2"--- .. ,.'~ c~.~ ~c~ -.~['ct.. .
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ~£0, f~q
THANK YOU VERY MUCH.
DATF
BERNIE ~C.J=~US OF RAMPART D WORKS
SERVICE CHARGEOP 1~% PER MOtH WILL BE ASSESSED ON PAST DUE ACCOUNTS.
MUNICIPALITY OF ANCHORAOE
DEPT, OF HEALTH &
MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION
HEALTH AUTHORITY APPROVAL (HAA) MAR 8 10PA
CHECKLIST - FEBRUARY 1984 n
RECEIVED
A. WELL DATA
Well Classification i,J^1e, If A, B. or C, D.E.C. Approved(Y/N) 'k"�A
Well Log Present (Y/N) Y{_S Date Completed ' lh'3 Yield,
Total Depth 7<�' Cased to �c) Depth of Grouting tai � _ __
Static Water Level Pump Set At-- 3. (2O
Casing Height Above Ground /.S Sanitary Seal on Casing (Y/N)N4 _
Electrical. Wiring in Conduit (IN) ids Depression Around Wellhead (Y/N)I.10
l
Separation Distances from 4b11:
r
To Septic/Holding Tank on Lot ;7ic �` 7 On Adjoining Lots ?/oo
To Nearest Edge of Absorption Field on Lot_2��_�: On Adjoining Lots�>toCr _
To Nearest Public Sewer Line �/4- — To Nearest Public Sewer
Cleanout/Manhole ro/.
Water Sample Collected By
Water Sample Test Results
Commnts
B. SEPTIC/HOLDING TANK DATA
To Nearest Sewer Service Line on Lot A�/A_ _
Date Installed c/'3113 Size LLS L7 No. of Compartments --
Standpipes (Y/N) ;�zJ Air -tight Caps (Y/N),ES Foundation Cleanout (Y/N)
Depression over Tank (Y/N) - -_ Date Last Pumped _ /J/;4
Pumping/Maintenance Contract on File (Y/N) /` i4 I for
Holding Tank High -Water Alarm Temporary Holding Tank Permit (Y/N) ^!/f
Separation Distances from Septic/Holding Tank:
To Water --Supply W✓11 yioo ` _ _ To Building Foundation /.5
To Property Line _ _--- —IC) To Disposal Field ,)U'_
To Water Main/Service Lire �J To Stream, Pond, Lake, or. Major Drainage
Course N
Comments
[Page 1 of 21 2--15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata �fil�d;,;,,, Type of System Design?s`,�
Date Installed 3 J Length of Field
Width of Fields �' Depth of Field /
Gravel Bed Thickness�)
Square Feet of Absorption Area r >o Standpipes Present &N)
Depression over Field (YIN) (00 Date of Last Adequacy Test N/gyp.
Results of Last Adequacy Test N(,4 -
Separation Distance from Absorption Field:
To Water -Supply Wall To Property Lire - I (V_>.1 _
To Building Foundation �2�� To Existing or Abandoned System cn
Lot IV A On Adjoining Lots
To Water Main/Service Line A To Cutbank(if present) 0_1,4
To Stream/Pond/Lake/or Major Drainage Course YV/A
To Driveway, Parking Area, or Vehicle Storage Area 1,`r
D. LIE"T STATION
Date Installed � F Dimensions I A _
Size in Gallons Manhole/Access (YIN) 11)1A_
"Pump On" Level at N)A "Pump Off" Level at N(
High Water Alarm Level at tie Vent (Y/N)
Tested for A/,A Pumping Cycles during Adequacy Test. Meets MOA
Electrical Codes(Y/N)
Comments -�
*' Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to a7.1 MOA HAA Guidelines in effect
on the date of this inspection.
Signed /. . //.< �. Date /
Company r ' MOA No. 'til,:
KB1/d5/s
(Page 2 of 21
2-15-84
YIC
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3 6.%TEERS
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2-15-84
ALASKA it OROWnTRL COnTnOL ShUINS, InC.
engineerinq & Enuironmental Studies
March 6, 1984
Mr. Robert- Robinson
Department of Health and
Environmental Protection
825 L Street
Anchorage, Alaska 99501
Mr. Robinson:
aaA13D3N
NOIZ9108d 1H1N7WNO81AN3
'8 H11b3H d0 '1d3U
20"OHONd d0 )J-11ydQ1NnV4
I am writing you concerning Lot 1, Block 8, Mountain Park Estates #1. The septic
system was originally installed on September 13, 1983, and inspected by AECS. At
that time, no well had been drilled on the lot. The well was subsequently
drilled on September 25, 1983.
In conducting a Health Authority inspection for this property on February 28,
1984, a measurement from the well to the nearest portion of the drainfield
yielded a distance of 94 feet, as shown in the attached drawing. It appears that
the siting of the well may have been constrained by a road easement fronting
Bristol Drive and a possible power utility easement along Birch Road.
The well is located at the furthest lot corner from the septic system.
Additionally, the well was drilled through silty gravel with 40% clay binder from
0-24 feet, as noted in the well log, and showed no water yield down to 360 feet.
Water production was confined to an area extending from 360 to 380 feet below
ground surface. As such, the water supply should be quite protected from
potential contamination by the septic system.
In order to expedite the completion of our work concerning the Health Authority
Authorization, it would appear that the granting of a waiver of distance would
greatly clarify the situation. I would appreciate your assistance in resolving
this matter. Should you have any questions concerning this site, please contact
me.
HRE/caj
Sincerely,
C f,GL
Harald R. Ehlers
Environmental Engineer
1200 West 33rd Auenue. Suite B • Anchoraqe, Alaska 99503 • (907) 561-5040
jy ¢ CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
°ry�F TELEPHONE (907) 5622343 ANCHORAGE INDUSTRIAL CENTER
5633 B Street
�.eow.rowieo
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM: (') See h on back
I.D. NO.
water System Name Phone No.
l o o W 5 3 ,41� 404iS J3
Mailing Address
city State zip code
SAMPLE DATE: LLJ�- 1 a , 1 41
Mo. Day Year
SAMPLE TYPE:
m,floutlne
❑ Check Sample (for routine sample t ❑ Ti Bated Water
with lab ref. no.
❑ Special Purpose p�7ntreated Water
SAMPLE Time Collected
NO. LOCATION Collected By
1 1 7-�9P I R"YL
2 2. ] Z;)LPAn� d of
3
4
TO BE COMPLETED BY LABORATORY
A alysis shows this Water SAMPLE to be:
Ps
❑ Unsatisfactory
❑ Sample too long in transit; sample should
not be over 30 hours old at examination to
indicate reliable results. Please send new
sample via special delivery mail.
Date Received IO A'�
Time Received S-t)I-D
Analytical Method:
❑ Fermentation Tube
Membrane Filter
Lab Ret. No. Result' Analyst
I
ED
I I m
m
I
+No of colonies/ 100 ml. or No of Positive portions
06 1220(b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1983
l
READ INSTRUCTIONS Membrane Filter: Direct Count —
Coiiform11o0m1
Verification: LTB BGB
Final Membrane Filter Results Coilf rm1100ml
BEFORE Reported B_ Date
Time: a.m.
P.M.
COLLECTING SAMPLE TNTC = Too Numerous To Count