HomeMy WebLinkAboutHYLEN CREST #1 BLK 3 LT 16Hylen Cees,
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Lot 16
050-474
-12
Permit Number:
Tax Code Number:
Work Type:
On-Site Wastewater Disposal System Permit
OSPl11319
05047412000
Septic
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Upgrade
Permit Effective Dates: November 07, 2011 to November 06, 2012
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: HYLEN CREST #1
Site Legal Address: HYLEN CREST#1 BLK 3 LT 16 G:0057
Owner/Address: HACKENMUELLER JOSEPH M &
GREENINGER SHIRLEY K 10129 RAVENCREST CIRCLE EAGLE RIVER AK 995779511
Lot Size in Sq Ft: 20021
Site Mailing Address: 10129 RAVEN CREST CIR, Eagle River
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Previsions: Prior to the submittal of the Inspection Report, the existing field will be located
accurately. If needed, a waiver request and fee will be submitted for the proximity to the lot line
and foundation.
Received By:
Issued By:
Date:
Date:
UNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
Mayor Dan Sullivan
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. (:~'-O- ~ 7/-1/- rZ--
.....
Property owner(s) .-~'~E. Cg I.,I,4¢../(¢',U~ U~LL~ /$. uay pnone
Mailing address lOl?..':f F,,/D~.,4/ ~--,~-~T cl,~u.~-~ ~".4/,-Le" ¢1~'~..
Site address 101'Z.q J~.4'aK.,Cc-_~T ~.--!
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
Lot Size 2,-0) ~2.~ Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
([~ all that apply)
Absorption Field
Septic Tank
Holding Tank
Privy
Private Well
THIS APPLICATION IS AN:
Initial []
Upgrade J~
Renewal []
Water Storage []
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
I certify that the above information is correct. I further certify that this application is being made
for a Singl...e F.amily Dwelling/and is in accordance with applicable Municipal Codes.
(Sign or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
Permit No.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
G:\Building\On Site\Forms\Client Forms\Permit App_010411 .doc (Rev. 1/11)
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Re§istered Professional En§ineer
E-maih steve@panengak.com
October 31, 2011
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject:
Hylen Crest #1, Block 3, Lot 16
Septic System Permit Upgrade Request
Ladies and Gentlemen:
I am writing to request a permit to construct an upgraded septic system be issued for this property. The
proposed systems will serve an existing four-bedroom house. Currently the lot is developed. The existing
drain field is in failure and will be re-used as a reserve. The existing septic tank will be abandoned per
code and a new 1250g septic tank will be installed. The lot is served by AWWU Public Water. The
surrounding lots are served by AWWU Community water.
1. Soils. A single test hole was excavated by PES in October of 2011, and the ground water monitored
for seven days. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the
percolation tests and overall soils appearance; an application rate of 1.2 gallons/day/square feet should
be used for a conventional waste water system.
Soil Absorption System Design.
a. See Sheet 2 of the design package
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the
existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water
and drainage ditches.
4. Topography: The topography in the area generally slopes to the south at 10 to 12% in the area of
the proposed drain field.
Page 2 of 2
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification
that the review is complete and that there are no further comments is received from MoA On-Site
Department, the note will be removed and "Issued for Construction" drawings will be issued.
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,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments
Maititl8: ?~O~ Bo}.,'. 1002178 Ancho~-aS~e~ AK 99510-0217
Telephone: (907} 272-82t.8 FAX: (907} 272-82i. 1
4 5 6
1250g SEF~TIC TANK (P) --, ~;
INSTALL DCO AND DV ~' ~ ........ .
............ %/' '/~' 50LFx5'EDx3 W, 9 ID
DRAIN FIELD (E) ~~¢HL~" ,
H E
~.0~[ (~07) 272-8218 [~X (~07) 272-8211 ~..'~
HYLEN CREST ~1, BLOCK 3, LOT 16 ~~ P.I.D. NO
dOSEPH HACKEN~UELLER & ~- onnoae ~ 050-474-12
SHIRLEY GREENINGER '~~$~ ~ERMIT NO.
EAGLE RIVER, AK 99577 i~oEss~9,~ Sheet
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON-SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE W~L~,u THE AI~ACHED SPECIFICATIONS.
5. SCOPE OF WORK: INSTALL NEW ~0,~,0,~ GALLON SEPTIC TANK AND NEW SOIL ABSORPTION SYSTEM.
4. GROUNDWATER WAS NOT OBSERVED TO A DEPTH OF 15 FE~ BELOW EXISTING GRADE DURING EXCAVATION OF THE SOIL
TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15 FEET BELOW
EXISTING GRADE NOTI~ THE ENGINEER IMMEDIATELY.
-0.5 ~ OR
4.0
j ~ FILTER FABRIC
0.5~ ~.~ ~4"
~ ~ PERF PIPE
GM/
5.0
NO GROUNDWATER SM
o~w~ ~ ~ ~oc~
6.0
- 5.0 -
z -15.0
o~
~g s ~ SECTION
z ~ o ~
4.0
,, -
PROFILE
SEE SECTION & PA~METERS
DESIGN PARAMETERS
PRIMARY SEPTIC SYSTEM
NO. BEDROOM: 4 (600 gpd) ABBREVIATIONS
TANK SIZE: 1250g CU COPPER
SOIL RATING: 1.2 GPD/SF DIP DUCTILE IRON PIPE
AR~ RQD: 500 SF TH TEST HOLE
SYS. ~PE: DEEP TRENCH 5' E.D. FC FOUNDATION CLEAN OUT
MIN LENGTH: 50 LF T~ TANK CLEAN OUT NO.
USE: C~ CLEAN OUT NO. LEGEND
50 LF X 5' WIDE, 5' E.D., 9' TD M~ MONITOR TUBE NO. ~ W. WATER LINE/
TOTAL AREA: 500 SF R.I. RIGID INSU~TION WELL RADIUS
DCO DOUBLE CLaN OUT
DV DIVERTER VALVE ~ SS NEW SEPTIC
FS FLOW SPLICER
NOTES: P~O~ ~G ~C, L~ -.-~'~xxx", _. ~t.
~_ O~ AL*'~ ~/4/~
~o~ co~,~CT, ON P.O. ,OX ~oo~z ,,C,O,,~. ,X e,~O ~_~.
.......
Scale
NTS
,YL N LOCX ;, LOT
P.I.D.
NO
JOSEPH HACKENMUELLER ~
SHIRLEY GREENINGER ~¢.. CE 8149 '~~ PERMIT NO.
DESIGN DETAILS 10129 RAVENCREST CIRCLE ~.~;.. ..~ osp~5~
~ ~¢~ ....... ~, ~ Sheet
EAGLE RIVER, AK 99577
SOILS LOG - PERCOLATION TEST
TEST HOLE 1
6 -- SILTY GRAVEL / "'
AND SAND
SM SOFTER AND ......
DEPTH TH o
,
10 --
WAS GROUND WATER SLOPE
14 -- ENCOUNTERED? N
15
BOH IF YES, AT WHAT TH
16 -- DEPTH? -0-' X
17 -- DEPTH TO WATER AFTER
MONITORING? -0'~
18 ! DATE: 10/18/11
DATE PERFORMED: 10/11/11 READING DATE CLOCK WATER
TIME NET TIME LEVEL NET DROP
READING
1 10/11/11 10:47 --- 5.17 ---
2 10:57 10 MIN 7.52 2.35
3 10:58 -- 5.17 --
4 11:08 10 MIN 7.36 2,19
5 11:09 -- 5.17 --
6 11:19 10 MIN 7.29 2.12
PEROLATION RATE 4.7 (rain/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 6 FT AND 7 FT
COMMENTS: Test hole excavated by FLINTSTONE ENTERPRISES. Prec hole was presoaked.
Test run for one hour. Last 3 readings reported
PERFORMED BY: Steven R. Pannone~ P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES: PAN-NONE ENG SVC, LLC
FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 ~.~....o..F..A../.._.~ i~' 11/4/11
PHONE (907)272-8218 FAX (907)272-8211 ~.¢r..~4~..~. ".~'~ NTS
HYLEN CREST #1, BLOCK 5, LOT 16 ~;; .....~ P.I.D.050_474_12NO
JOSEPH HACKENMUELLER & -"¢'~"~¥n"~."C'~'n'n'$~&'~,
PERMIT
SHIRLEY
GREENINGER ¥~%].. CE 8149 ..~,~
NO.
SOILS LOG 10129 RAVENCREST CIRCLE ,~/~.~ .... ...,~_~.~ 0SP111519
EAGLE RIVER, AK 99577 ~'~.~{~o~s's(o~.~ Sheet
READING DATE CLOCK WATER
TIME NET TIME LEVEL NET DROP
READING
1 10/11/11 10:47 --- 5.17 ---
2 10:57 10 MIN 7.52 2.35
3 10:58 __ 5.17 __
4 11:08 10 MIN 7.36 2,19
5 11:09 __ 5.17 __
6 11:19 10 MIN 7.29 2.12
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4,720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
E
MAILING ADDRESS
LEGAL DESCRIPTION
L lb ~3
LOCATION
_~ v DISTANCE TO: Well ~[~'~
~ Manufacturer ~
~ ¢ ~Liq. c~)aclty in gallons
I )~,~ IF HOMEMADE:
~ ~ ~ DISTANCE TO: Well
~¢~ Manufacturer Well
~= I DISTANCE TO:
~ No. of h s
I I Len,th of each~ne
~--~ ' ' ' grad~, I
Top of tde to hmsh
~ Length Width
~ ~ ~~ Crib diameter
~ ~ DISTANCE TO: Building foundation
IAbsorption area
I
Dwelling
Material
Widt h.~ '~
PHONE ~NEW
I ,~.~'y -504'o [] UPGRADE
NO. OF B~ROOMS
Material
Nearest Iot~ '.~'~ ~line 1
widt. hil
Total lenqth o[ lines Trenc ~
inches
Material beneath the
Depth
PERMIT NO,
No. of corrt~rtments
luside length Liquid depth
Dwelling PERMIT NO.
Liquid capacity in gallons
Foundation
Crib depth
Building foundation
Driller
Sewer line
PERMIT NO,
Distance ~Zi.~linos
Total effective absorption area
PERMIT NO,
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
PERMIT NO.
Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
13 t~
INSTALLER
Lot,/&,
REMARKS
DATE
LEGAL
L I~ ~-73
72-013 (Rev. 3/78)
DEP~RTMENT OF HEALTH AND ENVIRONMENTAl_ PROTECTION
I']25 L STREET, ANCHORAGE, AK ~79501
264-4.720
CD tP~.! ~ ~ ][ T' IE:'~ E~ EL"-.. WEE ~:~ F" tF_': tF~. IP'lt :[ T
PERMIT NO:
DATE IGSUED:
840479
06/19/84
APPI_ I [rANT:
AI)DRESS:
C[)N'T'ACT PHGNE:
I...EGAL DE:SCR I F':
AEBS
12}(' 33RD W. AVE.
ANDHDRAGE~ AK 99560
561-5040 ~.~
SLIBDIV1SION. HYLE,:N ~
SEBTZON~ 8 TONNSHIF': 14N
LOT SIZE: 20D21 (SD.FT. OR ACRES)
LOT:
RANGE:
16 BLOCK:._,'~
1W
Listed below are the options available tc~ y~u in designing you~ s~p't::i.c
system. Choose the option that best Fits youp sit. e.
T IF4: IE£ ~,~1 il:],':. HI :lB: F~ ~} W. :E), [F~: ¢:~ :'.E
DEPTFI TO P]:PE BOTTOM (FT.) .].r,. 0 .~,* 4,. 0 4,, 0
GRAVEl_ DEF']'H (F:'T,,) 4,. 5 0,, 5 3,, 5
TOTAL DEPTH (FT,.) 7.5 4,,5 '7.f5
GRAVE[.. WIDTH (I=T.) 2.5 E)-:L.O ~.0
GRAVEL LENGTH (FT.) 62,,0 40.0 60.0
GRAVEl- VOLUME (CL.I.YDS.) 28.7 3;[,,1 44.4
TANK S I ZE (GAt_S) 1,250.0 .~.~. 1,250,, 0 .~- 1,250. C' '~..~;'
SGIL RA]'ING (SQ.FT,/BR) 1~8 138 138
~ DEPTH TO F'IPE BEITTOM < .'."].5 FT. RE[,!UIREG INSUL.ATIOIq
** DEPTH TO FIFE BOTTOM'< 4.() F'"T. MAY REQUIRE: A L:[F'T ~TAT.I, ON
~.~- TAI'.,Ik: ML,I~T FhAVE A'f' LEAST TWO COMPARTMENTS
I certify that:
1. I am Camiliap with the Pequirements t'c;l', on-.site sewePs and wells as se.t
for'th by the Municipality o£ Anch~page (MOA) and the State tit' Alaska.
2'. I will install the system in accordance with ali. MOA c(odes and regulationei,
and in cempliance with the design cr'iter'ia of this per'mi'l.'..
'3. I will adhere t.~.~ ali. MOA and State ~.~f Alaska requipemerlts for the set. back
distances ~rom any exist, lng well, wastewat, er' disposal system [~r' publ:i.c
sewepage system on this er' any adjacent., or near'by lot..
4. I understand that t. his per'mit is valid for a maximum e¢ 4. bedr'ooms and
any enlargement, will pequil*e an additional penmit.
IF A LIFT STATION IS INSTAl_LED IN AN AREA CGVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT ANI) INSPECTI[IN MUST BE OB'f'AINED; (2) ALS,-...BU~L'TS
WILl,.. NOT BE APPROVED WI"I"HOUT AN ELECTRICAl,,.. INSF'ECT'ION I'.~EPGRT; AND (3) "t'HE
EI_EE;TRICAI_ WORK IdUST BE DONE BY A L:[CEIxlSED ELECTRICIAN,,
~) I GNI=D
DATE:
APF'I_ I CANT: AECS
I~.~I:IE-D BY DATE:
PERMIT' NO:
[:,FITE ISSUED:
[:,EPFtRTMENT OF HEFILTH FIN[:, EN',,¢IRONHENTFtL PROTEE:T ION
825 L STREET., RNCHORRGE., 264-4728
840479
F FLI _-HIqT:
FtDE:,F.:ESS:
"1
CONTRCT F~4DNE:
HE, _.=,
Z200 ~.~.Rg H. RYE.
RNCHO~RGE., ~::: 99560
56t-5040
LEGFtL B!E:SCRIP:' SUBDI""J;SION: HYLEN LOT: t6 BLOCK:
SECTION: 8 TOWNSHIP: ' 14N RRNGE:
LOT SIZE: 2002± <SQ. F-T: OR FtCRES)
MRX BEDROOMS: 3:
LISTED BELOH. RRE THE OPTIONS FI',?RILRBLE TO YOU IN DESIGNING YOUR SEPTIC
SYSTEM. ~ "CHOOSE THE OPTION THFtT BEST FITS YOUR SITE.
TREI%IE:H BE[:,
DEPTH TO PIPE BOTTOM (FT.) -?.... 0 *:+: 4. 0
GRFIVEL DEPTH <FT. ) 4. 5 0. ~
TOTFIL DEF'TH (FT.) - 7. 5 4. 5'
GRFIVEL WIE:'TH' (FT'.) 2. 51 '.t. 8. 0
GRRVEL LENGTH (FT. ') 46. 0 2:5. 0
GRB',,,'EL VI]LUME <CU. YDS. ::, 2:1.. 2 2--".':. _~
TI=INK SIZE ':.'GRLS> :t., 000. 0 ** t., 000. 0
SOIL RFtTING <SQ'. FT, ,.'"BF.':> i~8 13:8
E:" I~."
4.0
3.5
7.5
5.0
45. 0
000, 0
t2:8
:+:* DEPTtLI TO PIPE E, UTTOM < ? 5
~.. FT. REQUIRES INSULRTiON
*.~+: DEPTH TO PIPE BOTTOM .::: 4. 0 FT. MRY REQUIRE FI LIFT STRTION
:+::+: TFINK MUST-HFt',,,'E FIT LERST THO CZMPRF.'TMENTS
I CERTIFY THFtT:
IRM FRMILIRR HITH THE REQUIREMENTS FOR ON-SITE SEHERS RND WELLS AS SET
FORTH BY ]:HE I"IUNICIPRLITY OF RNCHORRGE (MOB) RND THE '-:;]'ATE OF RI~RSKR.
2. I WILL iNSTRLL THE SYSTEM IN RCCORDSNCE WITH BLL MOB CODES RN[:, REGULFFTIONS,
AND Ii'4 COMPLIFtNC:E HITH THE DESIGN CRITERIR OF THIS PERMIT.
3. I WILL R[:,HERE TO RLL flOR FIND STRTE OF RLFtSKR REQUIR[-"MENTS FOR THE SET E:FtCK
DISTANCES FROM RNY EXISTING WELL, P.IF~STEHFtTER [:,IL--iPOSRL SYSTEM OR F'UBLIC
SEHERROE S'?!STEI'!I 0~ "[HI'.:-] OR 8N"r' RDJRCENT OR NERRBY LOT:
4. I'UNDERSTRND THRT THIS PERMIT IS ',/RLID FOR R MRXIMUM OF '~ BEDROOMS RND
RNY ENLRRGEI"IENT HILL REQUIRE RN RDDITIONFtL PERMIT.
IF R LIFF STRTION IS I, NS'rRLLED IN RN RREFt COYERED BY MOFt BUILDING CODES.,
THEN (t) RN ELECTRICRL PERMIT RND INSPECTION MUST BE-OBTRINED.~ (;2) ~S-BUILTS
HILL NOT BE FIPPRO',/ED HITHOUT tan ELECTRICRL INSPECTION REPORT.~ RND (]:) THE
ELECTRICRL WORK MUST BE DONE BY R* LICENSED ELECTRICIRN.
PERMIT NO:
DBTE ISSUED:
RPF'LICBNT:
RDDRESS:
C:ONTRCT PHONE:
LEGRL DESCRIP:
[.',EPRRTblENT OF HERLTH RND ENVIRONMENTRL F'ROTEC:TIOH
825 L STREET.,. RNCHORRGE., RK L-~'_=.~501
264-4720
C, [.~ 2; I T E '.:.=; E I...] E;
84047'_~
06/';L'_~/84
AECS
:L2¢'~0 ~]:R[) I.,.I. AVE.
RNCHORRGE., RE E~q. 560
56±-5040
LOT SIZE:
MRX BEDROOMS:
SUBDIVISION: H'¢LEN
SECTION: 8 TOWNSHIP: i4N
20021 (SQ. FT. OR RCRES)
LOT: t6
RRNGE: %N
BLOCK:
LISTED BELOW RRE THE OPTIONS BVR!LRBLE TO YOU IN DESIGNING VOLIR SEPTIC:
SVSTEM. CHOOSE THE OPTION THRT BEST FITS '¢OUR SITE.
DEPTH TO PIPE BOTTOI'd (FT.) 4. 0 4. 0 4. 0
GRRVEL DEPTH (FT. ::, S. 5 0. 5 ]:. 5
TOTRL DEPTH ,.'.FT. ) 7. 5' 4. 5 7. 5
GRRVEL WI[:,TH (F'T.) 2. 5 ;-26. 0 5. 0
GF.:R',,,'EL LENGTH (FT.) 156. 0 ,+.+, 5i. 0 iiT. 0
GRRVEL ',,,'OLUME (CU. '¢DS. ) 57. 7 49. '& 86. 6
TRNK SIZE (GBLS) ±., 000. 0 ,+,~, i, 000. 0 :+.'~. t., 000. 0
SOIL RRTING (SQ. FT. ,."BF.'.) Z.'.62 2~0 .S62
,+,m GRRVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT FXC:EEDING 75 F% ERCH)
,~.~ TRNK MUST HRVE BT LERST TWO COMPRRTMENTS
I CERTIF~¢ THRT:
,I. I RM FRMIL. IRR WITH 'rile REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS'SET
FORTH B'Y THE MUNICIPRLITV OF RNCHORRGE (MOR) RND THE STRTE OF RLRSKR.
2. I WILL INSTRLL THE S'¢STEM IN RCCORDRNCE WITH RLL MOR CODES RND REGULRTIONS.,
RND IN COMPLIRNCE WITH THE DESIGN CRITERIR OF THIS PERMIT.
_:'..I WILL RDHERE TO RLL NOR RND STRTE OF RLRSKR F.E~;..IIREMENT=,' -~ ' '- FOR THE =,ET'-~ BRCK
[.,I=,TNNL. E_, FR"M_ RN'¢ L,.-,Iz, TING WELL., WRSTENRTER [.I=,FO_~RL SVSTEM _]F.' PLE, LIC' ' "
SEWFRRGE S'¢STEM ON THIS OR RNV RDJRCENT OR NERRB't' LOT.
4. I UNDER'-]TRND THRT THIS PERMIT IS VRLID FOR R MRXIMUM OF ~ BEDROOMS RND
RN~r' ENLRRGEMENT WILL REQUIF.'.E RN RDDITIONRL PER. MIT.
IF R LIFT SI'RTION IS INSTRLL.ED IN RN RRER COVERED BY MOB BUILDING CODES.,
THEN (2L) RN ELECTRICRL PERIdIT RND INSPECTION MUST BE OBTRINE[:u (2) RS-BUILT':;
NiLL NOT BE RPPROVED NITHOUT RN ELECTRICRL INSPECTION REF'ORT.~'RND (-..':) THE
ELECTF.:ICRI_ WORK I',iUST BE DONE." B',' R LICENSED ELECTF.:ICIRN.
SIGNED
RFFL~~ECS / /
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
.ERFORMED FOR: _J~-~ O'_l~r~
3
~m ~
.6
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
19
2O
ENCOUNTERED?
P
IF YES, AT WHAT ---, E
DEPTH?
fo" = ')~S¢'rO'kc-F' ..........
Gross Net /¢//ii~ Depth to Net
Reading Date Time Time Water Drop
+t/~o /.We ,
PERC~f_ATION RATE ¢~'~" ~ 7 (minutes/inch] '~ - FT AND ~ FT
T ESTRUN BETWEEN
_ /~/~,¢
PERFORMED BY:
/
72-008 (6/79)
ALASKA e~UIROnm%TAL CONTROL Sei4OlC%, I~C.
PERCOLATION TEST DATA SHEET
CLIENT ~o~r~ L.~v~.~ DATE
ADDRESS -
ZIP CODE
LEGAL LOCATION ~-~ ~ 1~0 Lgy~-
TOTAL DEPTH OF HOLE
TESTED ~ ~ ft TO
ZONE
ft.
~--~ ~ ~' ft
READING #
CLOCK TIME
NET TIME
DEPTH TO
DATUM
NET DROP
PERFORMED BY ~
RATE (min/in)
(rain/in)
ALASKA xnutRonmei1T tL COF1TROL S 4UICES,
~n§in¢¢rin§ 8 ~nuir0nmcnlol ~tudies
June 25~ 1984
Department'- of Health ¢~]d
Envirorm~ntal Protection
825 L Str6~t
Anchorage, A].aska 99503
Att]]: Keith Brandt
Dear Keith:
On June 14, 1984, AEC~S used drill rigs to lcx3 and ~x~rc soils in Hylen
Sul~ivision, Block 3, Lots 15 and ].6. The soil was found, t~) be C~, ~d
perked out at 324 sq. ft/bd, for Lot ].5 and 290 sq. ft/bd, for Lot 16o
T~ excavator, John Long, w~s concerned with these high perk rates,
because the lots are small and it was going to be difficult to fit both
the house and septic syst~n on either loto So [~ dug test ~oles ~]jacent
to the holes drilled by ~AECS and theught that the soils looked better
than what they were rated at. He cut through the drilled holes with his
backhoe and discovered that the action of the rotating augers had smeared
silt against the sides of the drilt holes, this leading tx) an erroneously
sl~ perk.
He brought a s<~ple of the soil iu to shc~ how good it was, and it w~s
decid~t to re-perk the soil using a post hole digger in a ~]ckhoe-cut
trench.
The soil in both test holes w-as the s~une - a C~ with tremehdous ~ounts
of gravel, although not clean enough to) visually rate. The gravel is
loosely held, r~stly P-gravel and larger in size, and s].oughs
continually.
Each perk test used aleut 15 gallons of water. On Lot :~5~z. the soil
tested out at ~.22~!.q. ft/bd, on [~o_~16, it is 1~.~0_~ Sqo ft/bd.
The tests acc~npgu]y this letter. Both tests were done within a number of
feet of the original drilled holes~ so that I felt an entire new log was
not necessary, just a new test.
~le dimensions of the systea%s have been re-desJ.gned accordingly~ as
have written next to the original permits, which I am also enclosing for
your approval°
Sincerely,
Engineering Geologist
Enclosures
Approved By:
~'('J~/ 1200 ~J6st 33r~{ t~ue.uc. Su,le L{ ., /~nchoro§~,. ~laska 99503 ~ [907) 561-50,40
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL JUL 2 8 1988
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application [)ate
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) LegaJ~)escription (include lot, block, subdivision, section, township, range)
Location (address or di.d.d.~ctions)
'
(b) Property-owner ~....-/ Telephone: Home
.Mailing Address
RECEIVED
Business .
(c) !.Lending Instituti0~ ....
Telephone
Mailing Address .... . -'
(d) Real Estate C(~m.anv and'/~gent
Telephone
(e) Mail the HAA to the followina address: or: Check here.~, if hold for pick
List contact person and day phone number below.
S & S ENGINEERING
~70~4 Eagle River Loop Road No. 204
Eagle River, Alaska 9gS77
TYPE OF RESIDENCE
Single-Family,~'
Number of Bedroom~
WATER SUPPLY
Individual Well [] Community [] Public ~
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite,J~' Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 fRev 8,86~ Front
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
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 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 further verify 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 effect on
the date of this inspection.
Name of Firm
Address
Date
17034 Eagle Ri~er Loop Road No. 2~
~Je ~Jver~ Alaska ~77
Telephone
DHHS APPROVAL
Approved for .~- ~/2 bedrooms by
Approved ~/~._ Disapproved
Terms of Conditional Approval
Conditional
CAUTION
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 DHHS 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.
Page 2 of 2
72-025 (Rev 8/86/ Back
WELL DATA
MUNICIPALITY OF ANC~:i~i~iPALi-1-Y OF ANCHORAGE (MOA)
E'. DEPT. OF HEALTHI~ALTH AUTHORITY APPROVAL (HAA)
NVIRONMENTAL PROTECT1C~i~ECKLiST. FEBRUARY 1984
264-4744
JUL 8 1988
RECEIVED Legal DescriptOr,/~
Well Classification
Well Log Present (Y/N)
Total Depth
Static Water Level
Cased to
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot ~
To Nearest Edge of Absorption Field on Lot "~c::>
To Nearest Public Sewer Line
Cleanout/Manhole
If A, B, C, D.E.C. Approved ~',1) _
Date Completed Yield
Depth ct Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
Water Sample Collected by
; Date
Water Sample Test Results
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes ~TN) y
Depression over Tank (Y~
Size
Air-tight Caps 4~/N)
Pumping/Maintenance Contract on File (Y/N),d /
Holding Tank High-Water Alarm (Y/N)
Separation Distances from SepticPc4e. tdj~ Tank:
To Water-Supply Well "'-2_~-4~E:~ /.1~
To Property Line
To Water Main/Service Line f(;.~ /..¢.~
Course / ~0 /'/"-
No. of Compartments
y Foundation Cleanout
[~ate Last Pumped J-'~'7 ~ ~:~
; for pa /
Temporary Holdin9 Tank Permit (Y/N)
To Building Foundation
To Disposal Field
./
To Strearn, Pond, Lake, or Major Drainage
Page 1 Of 2
72-026 tRey 8~861 Front
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata \";':~ ~ '~/~ Type of System Design
Date Installed ~'/i~ Length of Field '~ I /
Width of Field Depth of Field ~
Gravel Bed Thickness '~,
Square Feet of Absorption Area ~"~ ~ ~
Standpipes Present (¢~:N)
Depression over Field (Yd:~P /"--J Date of Last Adequacy Test
Results of Last Adequacy Test ~.~'~'~(~-/~____.~-~-<~¢4.~ ~ ~ ~..,
Separation Distance from Absorption Field:
To Water-Supply well '~--4~ /"~'~' /
TO Property Line / "~
/
To Building Foundation/,j//~ / ~.. , S-' To Existing or Abandoned System on
Lot , ; On Adjoining Lots '~2c;;> ~
To Water Main/Service Line / O ]"¢-~ /~d/,z~
To Cutbank (if present)
To Stream/Pond/Lake/or 'Major Drainage Course ./ ~:2~ ~
/
To Driveway, Parking Area, or Vehicle Storage Area ~' ~
Comments /'~ O/",-,/,~
"Pump On" Level a~_
High Water Alarm Level at ~
Tested for
Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
~"~TTrC~_~Cycles during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify that l have checked, verified, or conformed to all/~.OA/a~(~ H~ guideli nesin effect on the date of this inspection.
Signed5 &$ ~.i4Gi~,~F.'~,~.?,;.G Date ~Z .~. ~/'/
CompS34 Ea~le River Loop Road No. ~A No. ~ ~¢~
Eagle River, Alaska 99577
Receipt No.
Date of Payment ~ --~--
Page 2 of 2
72-026 fRev 8/861 Back
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
t
3601 C STREET. SUITE 1334 /
ANCHORAGE, ALASKA 99503
/
STEVE COWPER, GOVERNOR
563-6775
DATE: July
PWSIO: 213289
To Whom It May Concern:
According to the records on file ir[ this office, the HYLEN CREST
SUBDIVISION Water System is in compliance with the State of
Alaska Drinking Water Regulations,
SWE:pkk
Sincerely,
i Eng, PE
Engineer
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIROnmENTAL [LEALTH
DEPARTMENT OF [D]ALTI! AND ENVIRO~ENTAL PROTECTION
APPLICATION FOR I~ALTH AUTHORITY APPROVAL CERTIFICATE
1. Genera]. Information
(a) Legal Description (incIude
Application Date ~Z/O ~--//- c~3~z'
lot, bIock, subdivision,
_ ./~7~,./c~Z__..~]~/ section, to,reship, range)
Location (address or dire~i-Jpo~ns) ~
"" '--~_~ Telephone - Itome ' Business
Applicants Address
(c) Applicant is (check one) Lending Institutioj~
Bnyer ~__.~ ; Other.~ (explain);
(d) Lending Institution /¢~:~__~
Address
Tele.p. hone
(e) Real Estate Co. & Agent
Address
Telephone ~'}J'O'" "> f~ g'
(f)' ~Nai~i.thc I:btA to the following address:
Nnmber of Bedrooms
3.
Individual Well
Multi-Family
Other (describe)
Community ~__~ Public ~!
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
Onsite l'ublic E75] Community LSLq ,,=nk 17~
Note: If co~munity wail system, must have ~itten cmffirmation from the State
Department o( Environmental Consa~ation attesting to the legallty and status.
[Page 1 of 2]
E~.ineerin_~_~Firm Provid_~i[?~jij~ctions,j[.e__s_t3j2 File Search, Data and Information
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 shows that the om-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 further verify 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 regula-
tions in effect on the date of this inspection.
Name of Firm
Address ........
Date
(ENGINEER SEAL)
Apl)roved for -/L .... bedrooms
Approved -w~ Disapproved
Terms of Conditional Approval
....... Condi tlouo~l
CAUTION
THE MUNICIPALITY OF ANCHOIG%GE DF. PAR~NENT OF HEALTH AND ENVIRO~dE. NTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER KEGISTERED
IN T}iE STATE OF ALASKA, THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE--
MENTS. EMPLOYEES OF DItEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF zhNCHORAGE IS NOT RESPONSIBLE FOR EKRORS
OR OMISSIONS IN THE PROFESSIONAl, ENGINEER,S WORK~
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Date Completed
A. WELL DATA
Well Classification
Well Log Present .(Y/N)
Total Depth Cased to
Static Water Level Pump Set At
Casing Height Above ground
Electrical Wiring in Conduit (Y/N)
Separation Distances f~cm Well:
To Septic/~~Tank on Lot ~o
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
C leancut/Manhole
Water Sample Collected By
Water Sample Test Pesults
C(~u~nts
If A, B, or C, D.E.C. Approved(Y/N)
Yield
Depth of Grouting
Sanitary Seal on Casing (q/N! .
Depressior~Around Wellhead (Y/N)
; On Adjoining Lots ~
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
Be
S E PT I C/~L~LTANK DATA
Date Installed ~ Size //Z ~-~D No. of Ca,%~artments
Standpipe~/~!/~- Air-tight Caps~/~ Foundation Cleanou~/N9
Depression over Tank (A~N~ Date Last Pumped
Pumping/Maintenance Contract on File (Y/N)FV/~ ; for
Holding
Tank High-Water Alarm .(..Y/N)~;/~- Temporary Holding Tank Permit (Y/N)
Separation Distances frcm Septic/Holding Tank:
To Water-Supply Well ~dOO ~i, To Building Foundation
To Property Line //~ ~-~ To Disposal Field /Z
To Water ~---i~/Service Line ~ ~
Course /~ o ~
To Stream, Pond, Lake, or Major Drainage
Counts /t3 o ~3 ~
[Page 1 of 2]
2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~//~?W,~_
Width of Field ,~
Square Feet of Absorption Area
ngth of Field_ , 7/'
Depth of Field ~ yL!
Gravel Bed Thickness ~- ~ ~
Standpipes Pr'esent~9
Depression over Field (~N~ Date of Last Adequacy
Test
Results of Last Ad~quacy~Test /C),/~
Separation Distance from Absorption Field: /
To ~ter-Supply Well ~ uA To Property Line
To Building Foundation ~__~ ~ / To Existing or Abandoned System on
Lot. /J/~ ; On Adjoining Lots ~ ~--
To Wate~ M~//Service Line /Z~ ~ To Cutbank(if present)
To Stream/Pond/Lake/o~ Majo~ D~ainage Course /~ o ~
To Driveway, Parking Area, o~ Vehicle Storage Area ~'~- '
Comments /~ ~ ~ ~
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Ala~,~ Level at
Tested for
Electrical Codes (Y/N)
Dimer~ions
, . Mqnhole/access _(,Y/N)
~/ /~)ff" Level at
Vent (Y/N,
Pumping Cycles du~ing Adequacy Test.
Meets MOA
Cor~r~nts
** Check Permitted Bedroom Rating Again%st HAA'Request
I certify that I have checked, verified, o~ conformed to all MOA HAA .~nes ih-effect
on the date of this inspection
. , ~ .... .~: ..:~
KB1/dL/s
2,.15-84