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CHUGACH PARK ESTATES BLK 4 LT 1
Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1 ON -SITE WASTEWATER INSPECTION REPORT Dwelling: X Single Family (SF) n with ADU El Duplex (D) n Two Single Family Project: nN New n Upgrade Name James & Amanda Kolstedt ABSORPTION FIELD Deep Trench On Wide Trench El Bed n Mound Site Address 19451 Sullins Drive El Other Phone Bedrooms Soil Rating Total depth from original grade 7" 3 1.2 GPD/SFI 9.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5.5 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot Chugach Park Estates 4 1 Fill added above original grade -1 to -2 Ft. Gravel length 40 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1400 Ft� 1 n/a F t.. Manufacturer Greer Capacity 1000 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments Lot Line 5 1+ 10'+ NA NA NA HDPE (Deep Burial Model) 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Tankto BENCH MARK (Assumed elevation) 100.0 ft Inspector Pannone Engineering Services, LLC dates: 3rd 5/19/2025 2 411 8/19/2025 Finish Floor (See attached record drawing site plan) ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp 0 AL Conditional Approval: Date 49::T�H F,j Steven R. Pannone CE 8149 IZI AM Septic System L -3 h Note: this approvJ does not include well permit requirements. 6 101 2 3BR SFD (E) N O W E L L S W I T H I N 1 0 0 ' O F S E P T I C S Y S T E M G R A V E L D R I V E W A Y B S2 B S2 NO WELL WITHIN 200FT OF INSTALLATION SU L L I N S D R I V E 10 2 0 10 2 5 10 3 0 10 3 5 10 4 0 10 4 5 10 5 0 10 5 5 10 6 0 10 6 5 10 7 0 10 7 5 10 8 0 10 8 5 10 9 0 11 9 5 12 0 0 12 0 5 WELL (E) WELL (E) SEPTIC AREA TH-ARCTERRA INSTALLED 1000gal SEPTIC TANK (N) INSTALLED W/FC BEFORE & DCO AFTER RESERVE FIELD (NIC) INSTALLED DRAIN FIELD (N) 40 LF x 5.0'W x 4.0'E.D. x 9.5' T.D. INSTALLED CO & MT AT EACH END 10' U T I L . E S M T 10' U T I L . E S M T WOOD POSTS (E) (PER FS LLC. SURVEY) STEEL PILINGS (E) (PER FS LLC. SURVEY) FC MH1 T2 DCO CO1 MT1 CO2 MT2 A B BM 5.0' 8.0' 14.5' 13.1' PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) LJ C RE C O R D D R A W I N G CH U G A C H P A R K E S T A T E S B 4 L 1 CL I E N T : S U M M I T B U I L D E R S SI T E : 1 9 4 5 1 S U L L I N S D R I V E AN C H O R A G E , A K 01 / 2 3 / 2 0 2 6 05 1 - 4 8 1 - 2 1 OS P 2 4 1 1 6 7 AC P RE V 1 : 2 0 2 6 . 0 3 . 1 1 01 / 2 7 / 2 0 2 6 SI T E P L A N 1" = 6 0 ' 1 O F 2 DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3(450 gpd) TANK SIZE: 1000gal MIN PERC RATE: 1.8 MPI SOIL RATING: 1.2 GPD/SF AREA RQD: 375 SF RF: 0.50 ADJ AREA: 187.5 SF SYS. TYPE: WIDE TRENCH 4.0' E.D. MIN LENGTH: 37.5 LF USED: 40LF x 5.0'W x 4.0'E.D., 9.5'T.D. TOTAL AREA: 400 SF TANK SIZE: 1000gal MoA APPROVED SEPTIC TANK A B FC 10.4 13.9 T1 18.3 20.7 MH1 22.1 24.6 DCO 24.7 27.0 MT1 28.4 32.3 CO1 28.0 30.3 MT2 66.9 67.8 CO2 66.8 68.4 RECORD DRAWING THIS RECORD DRAWING REPRESENTS THE AS-BUILT CONDITION OF THE PROPERTY IMPROVEMENTS DESCRIBED ABOVE. THE DRAWING AND ANY OTHER SUBSEQUENT ATTACHED OR INCLUDED INFORMATION IS BASED ON PERIODIC VISUAL OBSERVATION BY A REPRESENTATIVE OF PES ALONG WITH NOTES, PHOTOS, AND OTHER INFORMATION PROVIDED BY THE INSTALLER OF THE SYSTEM. THE INFORMATION PROVIDED IN THE RECORD DRAWING APPEARS REASONABLE AND REPRESENTS THAT THE PROJECT WAS DESIGNED AND CONSTRUCTED IN GENERAL CONFORMANCE OF 18 AAC 72, THE ADEC ONSITE WASTEWATER SYSTEM INSTALLATION MANUAL, AND AMC 15.65 WHERE APPLICABLE. PES SHALL NOT BE HELD LIABLE FOR SYSTEM DEFICIENCIES WHICH FALL OUTSIDE THE SCOPE OF THE REQUIRED VISUAL OBSERVATIONS OR SUBSEQUENT OBSERVATIONS IF REQUESTED BY THE INSTALLER. SEPTIC SYSTEM INSTALLERS ARE TRAINED AND APPROVED BY THE MUNICIPALITY OF ANCHORAGE AND OR ADEC AS APPLICABLE. INSTALLERS ARE RESPONSIBLE FOR CONSTRUCTING THE SEPTIC SYSTEM AS DESIGNED AND ENSURING THEIR WORK CONFORMS TO THE CODES AND POLICIES STATED ABOVE. STREAM/DRAINAGE WAY CENTERLINE FLOW PATH ABBREVIATIONS CO CLEAN OUT NO. DCO DOUBLE CLEANOUT DV DIVERTER VALVE (E)EXISTING FC FOUNDATION CLEANOUT FS FLOW SPLITTER MT MONITOR TUBE NO. MH MANHOLE NO. (N)NEW NIC NOT IN CONTRACT (P)PROPOSED TH TEST HOLE TYP TYPICAL NEW SEPTIC WATER LINE / WELL RADIUS ESMT/SETBACK (HSG A - 4 6 % I N F I L T R A T I O N L I N E ) 9.5 3.5 MIN. ORIGIN A L G R A D E 8.0 4.0 3.8 1040 RESERVE FIELD (NIC) 1030 1035 1045 1050 1055 1060 ORIGIN A L G R A D E 9.5 (HSG A - 4 6 % I N F I L T R A T I O N L I N E ) 4.0 APPROX. FINAL GRADE (SOUTH END OF FIELD) 1040 1030 1035 1045 1050 1055 1060 1000 GAL GREER POLY TANK FG: 100.3 OG: 100.8 12 8 11 10 9 6 7 5 3 4 2 OR/OL1 13 14 15 16 BOH SW 95.7 95.5 DRAIN ROCK 6" ABOVE PIPE INV 4"Ø SDR35 PERFORATED DRAIN PIPE FILTER FABRIC 95.3 FG (NORTH): 99.8 FG (SOUTH): 98.8 83.3 95.3 FC MH1 T2 DCO CO1 MT1 MT2 CO2 4.0' DRAIN ROCK TH-ARCTERRA ELEV: ~100.8± 17 TEST HOLE PERFORMED (BY OTHERS): 08/18/2015 OBSERVED DRY (BY OTHERS): 09/01/2015 06/17/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) LJ C RE C O R D D R A W I N G CH U G A C H P A R K E S T A T E S B 4 L 1 CL I E N T : S U M M I T B U I L D E R S SI T E : 1 9 4 5 1 S U L L I N S D R I V E AN C H O R A G E , A K 01 / 2 3 / 2 0 2 6 05 1 - 4 8 1 - 2 1 OS P 2 4 1 1 6 7 AC P RE V 1 : 2 0 2 6 . 0 3 . 1 1 01 / 2 7 / 2 0 2 6 PR O F I L E / S E C T I O N NT S / 1 " = 8 ' 2 O F 2 B SCALE: 1"= 8' SLOPE SECTION A SCALE: NTS SEPTIC SYSTEM PROFILE Al ra ._ 9 So .....� . 'oK, upon JAW t 4 w _ � _ � ..._ .. _.. L �. .... _............. �._......,..... ...._......m & x e Wa..� e. .,.,...,m,> 6 . rte. �''•F..� ..... _ .,..- w y J ..... ..,,ee ... A Fromm Ft, �r��. �' �.. A, a � � y � � � � ,,,.�_ ... _...��. L Ft. tFt' „_ LEGEND: \ (C)=CALCULATED DATA (M)=MEASURED DATA / (R)=RECORD DATA PER PLAT / ohu=OVERHEAD UTILITIES TYP=TYPICAL =REMOTE METER BASE ONLY SQ =4" PLASTIC PIPE I ® =24" MANHOLE WELL / 1 / a6 �v p, a I �N ,4\--� -- 3" STEEL I PILING TYP S8� 2a 43't O O o WOOD / POST p TYP 24 0 UTILITY LOT POLE W/ ANCHOR ® 55,444 S.F. n N34'35'11 "E 0 \ I 1 I I I 1"=60' 5/8" REBAR (NOT ACCEPTED FOR THIS SURVEY) 100.35'(R&C) A 0 692o,, No Fq ,09. qT N �q O F �° 2gsF�FcT 09 /"LOT 2A BLOCK ® FENCE / BASIS OF BEARING IS DERIVED FROM THE 5/8" REBAR AT THE SOUTHWESTERN CORNER OF LOT 8, BLOCK 3 BEING COMMON TO LOT 7, BLOCK 3 TO THE 5/8" REBAR AT THE SOUTHWEST CORNER OF LOT 3, BLOCK 4. / S30'00'57"W 1069.25'(R) 1069.57'(M) NOTES: 1. EXCEPTING FOR GROSS NEGLIGENCE, THE LIABILITY FOR THIS SURVEY SHALL NOT EXCEED THE COST OF PREPARING THIS SURVEY. 2. THIS SURVEY REPRESENTS VISIBLE IMPROVEMENTS & CONDITIONS ON THE DATE OF SURVEY. 3. THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY & IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. 4. THIS SURVEY PERFORMED FOR SUMMIT BUILDERS, INC, IT SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. KA FARMER SURVEYING AS —BUILT 9131 E. FRONTAGE RD. °'oll ° q�q PALMER, ALASKA 99645 "°° °"°01'PH: (907)745-0222 W0$1"0Palmer bob©farmersurveying.com www.formersurveying.com e°49TH e WO: 25-0140 FB: 25-03 PAGE: 1 of 1 �°°°°°°°° °°F'S LLC #126467 surveyors : Planners SCALE: 1 " = 60' FILE: 250140AS Robert J. Farmer e ,o ° rsr°° 10615—S ° �' I HEREBY CERTIFY THAT A MORTGAGE INSPECTION WAS PERFORMED UNDER MY DIRECTION ON THE FOLLOWING DESCRIBED PROPERTY: dpROFeSSINNA��P�� CHUGACH PARK EST. SUBDIVISION, BLOCK 4, LOT 1, PLAT No. 72-188, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA. �v SURVEYED ON THE 24th OF SEPTEMBER, 2025. ©2025 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241167 Work Type: Septic Renewal Tax Code Number: 05148121000 Site Legal Address: CHUGACH PARK ESTATES BLK 4 LT 1 G:1161 Site Mailing Address: 19451 SULLINS DR, Chugiak Owner: KOLSTEDT JAMES & AMANDA Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: ��11�nr I)epaI'Cn)CIA t 6/26/2024 6/26/2025 55444 Q Disposal Field Q 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 JReeeived=gy: 1—i�� �t e� +C1 (� Issued By: Date: Date: ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 05148121 Property owner(s) James Kolstedt Mailing address Site address 19451 Sullins Day phone Legal description (Sub'd., Block & Lot) Chugach Park Estates B4 L1 Legal description (Township, Range & Section) Lot Size 55444 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑x Initial ❑ Single Family (SF) x❑ (w/wo ADU) Septic Tank ❑x Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal 0 Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: k462 � Waiver Fees: Date of Payment: Receipt Number: Permit No. 0,5io 2.y 116 7 Permit App__- :- :'_.,:c Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O. Box 1807 Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska Subject: Chugach Park Estates B4 L1 Expired Onsite Water and Wastewater System Permit Permit Renewal Request Permit Number: OSP211156 This is a request to renew the permit for the above-mentioned lot. The existing permit approval expired on 6/1/2022. Groundwater was monitored on 6/17/2024 in the existing Arc Terra test. Groundwater elevation was measured at 14.5’ BGS. The design has been modified to accommodate the groundwater elevation. All other site conditions remain the same. A change order has been submitted for a design change from a deep trench to a 5-wide trench. The construction still will not affect the health, safety, or development of this or surrounding lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, SRP Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer 20 June 2024 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241167, Deb Wockenfuss, 06/26/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211156, Deb Wockenfuss, 06/01/21 A S2 A S2 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241167, Deb Wockenfuss, 06/26/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) A SCALE: 1"= 8' SLOPE SECTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241167, Deb Wockenfuss, 06/26/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) 2.2. SCOPE OF WORK: INSTALL SYSTEM IN ACCORDANCE WITH THE ATTACHED DESIGN AND SPECIFICATIONS. 14.5 FEET 14.5 FEET Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241167, Deb Wockenfuss, 06/26/24 RcTERR P'i;��.� ERRA CONSULTING, INC 212 E. 51St Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 yfR, 09577 Al' SOILS PERCOLATION TEST Performed for: Jason Nixa Date Performed: 8/18/15 ' .._..-' rO;' A �_) r4qT H Project: Chugach Park Est. B4, L1 TEST HOLE /f TH 15-1 Depth 18- 19- 20- Org/OL SW trace of silt B.O.H. — occ cobbles bottom 2' HOLE PRE-SOAKED PRIOR TO TEST KE;NNL•" FUS a Air SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered.? NO What depth? NA Depth to water after monitoring? NO - Dry Date? 9/1/2015 Reading Date Gross Time Net Time Depth to Water Net Drop 1 9/1/15 1:00 - 6" - 2 1:10 10 min 4/16" 5 12/16" 3 * 1:11 - 6" - 4 1:2I 10 min 3/16" 5 13/16" 5 * 1:22 - 6" - 6 1:32 10 min 4/16" 5 12/16" 7 * 1:33 - 6" - 8 1:43 10 min 6/16" 5 10/16" 9 * 1:44 - 6" - 10 1:54 10 min 6/16" 5 10/16" 11 * 1:55 - 6" - 12 2:05 10 min 6/16" 5 10/16" * Water Added Percolation Rate 1.8 (min/in) Perc Hole Diameter 6" Test Run Between 5 feet and 6 feet 1, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211156 Work Type: Septic Initial Tax Code Number: 05148121000 Site Legal Address: CHUGACH PARK ESTATES BLK 4 LT 1 G:1161 Site Mailing Address: 19451 SULLINS DR, Chugiak Owner: KOLSTEDT JAMES & AMANDA Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date t S G o� Q` n v t�epartment Lot Size in Sq Ft: Total Bedrooms: 6/1/2021 6/1/2022 55444 Q Disposal Field 2 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: Issued By: Date: Date: 3 MUNIUPALITY OF ANCHORAGE 03 - ---- Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-481-21 Property owner(s) James & Amanda Kolstedt Mailing address Site address 19451 Sullins Drive Day phone Legal description (Sub'd., Block & Lot) Chugach Park Estates Block 4 Lot 1 Legal description (Township, Range & Section) Lot Size 55,444 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field X❑ Initial FX -1 Single Family (SF) X❑ (w/wo ADU) Septic Tank MUpgrade ❑ (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: t 5cjS Waiver Fees: Date of Payment:r '/�'( �% Date of Payment: Receipt Number: 06 %8Z ,2 Receipt Number: Permit No. —0-c-7 19Z I I 156 Waiver No. Permit App_ -'- :-:'-.,:c Rick Mystrom, Mayor Mmdcipali of_Anchor e Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us 343-4744 March 3, 1998 Curtis R & Kristina M Cherrier PO Box 200527 Anchorage, Alaska 99520 0527 Subject: Lot 1 Block 4 Chugach Park Estates Subdivision Permit #SW970023, PID #051-481-21 The subject permit, issued February 20, 1997 by this office for a single family well and/or on-site wastewater system, has expired as of February 20, 1998. 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 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. /,~-fh~rely, ~ On-site Services enc: Copy of Permit cc: S & S Engineering COPY' 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 AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970023 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:CURTIS CHERRIER OWNER ADDRESS:2436 GLENHOOD DR. ANCHORAGE, AK. 99508 DATE ISSUED: 2/20/97 EXPIRATION DATE: 2/20/98 PARCEL ID:05148121 LEGAL DESCRIPTION: CHUGACH PARK ESTATES BLK 4 LT 1 LOT SIZE: 55444 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION 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) A_ND DRINKING WATER REGULATIONS (18AAC80). 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: 1.) ENSURE A MINIMUM SETBACK DISTANCE OF 50 FT. BETWEEN THE ABSORPTION TRENCH AND ANY DOWN HILL CUTBANK. 2. ) INSTALL ABSORPTION TRENCH PARALLEL TO THE CONTOUR LINES OF THE ~~~ Z R .C ,IV ,DBY: . DATE: DATE: ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN January 9, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 1, Block 4, Chugach Park Estates Request you issue a permit to drill a well and install a septic system to serve the proposed four bedroom house on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered in the test hole and after seven day ground water monitoring, the monitoring tube was 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 wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 1" ! - 60' SITE BGALE I-- PLAN DESIGN 1-- r- Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST FERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O '~,,,,'.... DATE PERFORME6:'~ Township, Range, Section: ;LOPE WAS GROUND WATER ENCOUNTERED? s IF YES, AT WHAT St L DEPTH? ~ pO E Depth to Water AIt§r MonitorinD7 ~ ir~V SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~' ET AND ? FT COMMENTS $ & S ENGINEERING , _, PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No. 204 ' ' c~/-'f/'~r/~7 ACCORDANCE WlEItI~I~T~i"~I~I~Ii4i~JI~'AL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85)