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Home My WebLink AboutCONIFER HEIGHTS BLK 2 LT 1 ,„,,,..,,, --1_'1.,,,-., MUNICIPALITY OF ANCHORAGE \, On-Site Water&Wastewater Program i ocnt i �, PO Box 196650 4700 Elmore Road . Anchorage.Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ".` http://www.muni.org/onsiter" r 4';'C';1-C; <' On-Site Wastewater Disposal System Permit Permit Number: OSP171312 Effective Date: 10/18/2017 Work Type: Septic Upgrade Expiration Date: 10/18/2018 Tax Code Number: 01509334000 Site Legal Address: CONIFER HEIGHTS BLK 2 LT 1 G:2440 Site Mailing Address: 8061 DOWNHILL CIR, Anchorage Owner: TONE JON S Lot Size in Sq Ft: 30010 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: El Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well 0 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: v.,„/ Date: Issued By: ilbekel 4 CQ1UT,r7'ei Date: /08/20/7 MUNICIPALITY OF ANCHORAGE ) ...----, ---. Community Development Department rill,,,...:1,.. zPhon .7,901443-7404:- Development Services Division F�' �x°1 17\� On-Site Water& Wastewater Program OCT 1 0 011 ON-SITE SEWER/WELL PERMIT APPLICATION . s/ 11. Ubt ti c- 015-093-34 Parcel I.D. it of E 8 L g 5 \ Property owner(s) JON & NANCY TONE Day phone Mailing address 8061 DOWNHILL CIRCLE Site address 8061 DOWNHILL CIRCLE Legal description (Sub'd., Block & Lot) CONIFER HEIGHTS B2 L1 Legal description (Township, Range & Section) Lot Size 30,010 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (E)all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑X Duplex (D) ❑ Holding Tank ❑ Renewal ❑ 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. 41tA' �I (Signature of property owner or authorized agent) Permit/Rush Fees: 5409 Waiver Fees: Date of Payment: `DI!C)f fl Date of Payment: Receipt Number: 6054363 Receipt Number: Permit No. 05P 15/42 Waiver No. Permit App_ - :: .c Pannone Engineering Services tic Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com September 21, 2017 Subject: CONIFER HEIGHTS B2 L1 Upgrade Septic System Permit Request Design Narrative This is a design narrative to issue a permit to install an upgrade septic system to be issued for this property. The proposed system will serve an existing three (3) bedroom house. The system will utilize a new 1250g septic tank (if needed based upon verification of condition of existing tank), and an upgrade drain field. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system. 1. Soils. One test hole was performed in the vicinity of this system in 1986 and an additional one was performed by PES in 2017 Ground water was not observed to a depth of 16.0' below the surface in the PES test hole after the seven day water monitoring period. Bedrock was not encountered in the test hole to 16.0'. Based on the results of sieve analysis of the existing soils and overall soils appearance, an application rate of 275 sf/br was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography on the lot generally slopes from east to west, with a slope of approximately 0%-5% in the area of the upgrade drainfield. There are no steep slopes within 50' of this system. The proposed drain field will maintain 50' separation all steep slopes. 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 this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 / 1 il \ii., 1 s WLLL (L)/ Q c,./ .- \/ 9r 01 Q \ 1 I / cI� \ I ' i ", 5 1 1 / IQPI f• 11 / / ' / 1 I / 1 Ll'Q_ / ,TRUE NOR1H 1 ALE 7 7 / V/' / / 7 / / // / I / 1 I/ �y 1 I I 1// / / / / / / / 1 1 W 1 I I / / / / / / I I I / 1 I 1 II� / / / // —/ 1 1 1 I 1 I / / / / / / / // / / 11 \ REMOVE AND REPLACE ABSORPTION FIELD(E) J / / // / / \\ 45LFx2.5'Wx8.O'E.D.,14'T.D. (720SF) — — / i / 1 \ \ W/ MTs & CO ON WEST END �' / / / 1 \ OVEREX BIOMATTED MATERIAL & REPLACE M�� / 1 \ WITH SAND i 401 , ,,_ i / / — / -- i i / / i /�/ / ' — — ' �/ —� T / / 1 / A''' , . ADD ABSORPTION FIELD LENGTH(P) / / / / f 14LFx2.5 Wx4.O'E.D.,10.O'T.D. (112SF) / 7 ♦ / / • / / / / / / I W/ MTs & CO ON SOUTH END /// / / / / - N • ` XI 108.3•'A� ( I I �/ /1\ / / 1 11 \ / / � / ♦ I I • 1 I I I / 1 ♦ f / 123.6' I 1 / 1 /, ♦ TH-pEs 101.8 I I / / / VALIDATE CONDITION 1 1 / OF SEPTIC TANK AND I I • / 1 I / / REPLACE IF NEEDED 3R 1 1 1 I / f / 1 / — ADD DCO AFTER TANK-D 1\ 1 I 1 I \ 1 I/ / l / I /r `I I l aao Ie361 I\ 1 \1\7- II CM \ lI I 6 1 \ /1 WELL (E 1 \ 1 11 I / _ — — \ ♦ I I \ \ RIVEWAY I I 1 11 1 1 I 1 ♦ r1 // \ ♦ I /2 \� - // // / 1�\ \1� DESIGN PARAMETERS _ PRIMARY SEPTIC SYSTEM 1/ _ f / / 11 q / \1 -NO. BEDROOM: 3(450 gpd) \ (,y TANK SIZE: 12508 \ I I W / / 1 / _PERC RATE: USCS "SM" (SIEVE ANALYSIS)_ _ 1 — — / -4. \ SOIL RATING: 275 SF/BR I I 1 AREA RQD: 825 SF 1 1 ABBREVIATIONS SYS. TYPE: DEEP TRENCH 8.0'ED/4.0'ED W w WATER LINE / N TH TEST HOLE MIN LENGTH: 45LF/14LF _ WI L RADIUS 1 (P) PROPOSED /USE: -- — • ♦ I (E) EXISTING 45LFx2.5'Wx8.0'E.D., 14.0'T.D. (720SF) ss —ss — NEW S PTIC / CO CLEAN OUT NO. 14LFx2.5'Wx4.0'E.D., 10.0'T.D. (112SF) / / / 1 MT MONITOR TUBE NO. ,TOTAL AREA: 832 SF ' / 1 TYP TYPICAL NOTES: PANNONE ENG SVC, LLC of` Date FOR CONSTRUCTION 10/09/17 P.O. BOX 102954 ANCHORAGE, AK 99510 P '" PHONE (907) 272-8218 FAX (907) 272-8211 - • . �4„ Scale *:41). :. , .* 1.. = 50' '• •••• • •••• • P.I.D. NO CONIFER HEIGHTS B2 L1 _ 015-093-34 JON & NANCY TONE —triv°^I"• 13annoIl° — PERMIT NO. DRAWN JRL v,;• 8149 .•:, . OSP171312 8061 DOWNHILL CIRCLE , , • .REV:1Q/17/17. SITE PLAN ANCHORAGE, AK 99507 o' ' Sheet I 1 OF 3 SOILS LOG — PERCOLATION TEST TEST HOLE 1 OR TOPSOIL SLOPE //�/ / ,\ SITE`P1LAN� ` _ _ _ _ i t / / I \ \ Brown Silty / SM SAND & / 2 OR GRAVEL MIX 44 I ` \ FILL , \ ` 3 MIX ��,. j 5 • // I l --/)71( 5 / -----X— / ,} ' I (---,_ x1 6 X TEST / I / I 7 HOLE . • I SM Silty SAND i Ir _ 1S / , 1 \thi - — } I 1 t 9 / 3BRI 1 1 ! \ f 10 / _ • ^I' r \, SFD 1aao 636 \ 11 I I 11 \ f 11 • 1 12 �_ I / / 1 I I 1l \ I , 83z 1 WELL (E I 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 TH 1 IF YES. AT WHAT 16 DEPTH? -NA-' X BOH DATE PERFORMED: 22SEP17 DEPTH TO WATER AFTER MONITORING? - DRY - DATE: 050CT2017 WATERSOIL TEST RESULTS/ANALYSIS READIN DATE CTIMEK NET TIME LEVEL NET DROP (MPI) • PERCOLATION RATE NA(min/Inch) READING (Hydrologic Soils Group: HSG A) 1 • SIEVE ANALYSIS RESULTS: SM(275 SF/BR) 2 • PERC HOLE DIAMETER 6" 3 • TEST RUN BETWEEN 6 FT AND 7 FT. • TEST RUN FOR OVER AN HOUR. LAST 4 THREE READINGS PROVIDED. 5 ...---; COMMENTS:Test hole excavated by IRs SEPTIC. . PERFORMED BY:Joseph Lawendowski. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC, LLC Aar Dote FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 -:-*/.‘d.. t : Score */ . i• ' • * NTS ••,6717 ••� ��.� •• •• . P.I.D. NO CONIFER HEIGHTS B2 L1 ' --- ``A.' •.. • 015-093-34 JON & NANCY TONE • .. }'even'-• anno1e l PERMIT NO. DRAWN JRL NittCE 8149 8061 DOWNHILL CIRCLE •FEv:1O/17/1. OSP171312 SOILS LOGS ANCHORAGE, AK 99507 , Sheet 2 OF 3 040.002 Crowther Associates Client: Pannone Engineering Services Projects: Conifer Heights, Block 2, Lot 1 Date: October 5, 2017 Particle Size Distribution Table Sample Source Sieve Size 3 inch 1-1/2 inch 100% 3 inch 95 #4 88 #10 82 #40 59 #100 30 #200 24 0.02 mm Classification Silty Sand (SM) 1632 Bellevue Circle/Anchorage,Alaska 99515 Telephone(907)349-2198/E mail:crowtherraalaska.net SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALI IY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: VERIFY CONDITION OF SEPTIC TANK AND REPLACE IF NECESSARY, REMOVE AND REPLACE ABSORPTION SYSTEM(E) AND ADD 14LF. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 18 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 18 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY, 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED-LINE AS-BUILT DRAWINGS TO THE ENGINEER. THE RED-LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN-OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS-BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: . TITLE: DATE: NOTES: PANNONE ENG SVC LLC Date . FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 10/09/17 PHONE (907) 272-8218 FAX (907) 272-8211 = I _ Scale • ' • NTS ••.•4:414410:W'�' I • • P.I.O. NO CONIFER HEIGHTS B2 L1 �,,. . gh 015-093-34 DRAWN JRL JON & NANCY TONE i '�� ^p1• PERMIT NO. CE 8061 DOWNHILL CIRCLE ';'•,REv-10/17/17•- OSP171312 DESIGN NOTES , ANCHORAGE, AK 99507 ':,, Es Sheet 3O 3 "" Municipality of Anchorage s. ,�°-- - °� >>c n t r �� On-Site Water and Wastewater Program P.O. Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907)343-7904 Fax: (907)343-7997 ^ httpalwww.muni.orglonsite11 ` 4..c„--o-,Tot ill 1 11 1 ep,...tn��.nt Review Comments Engineer: PANNONE ENGINEERING SERVICES 10/16/2017 Legal Description: CONIFER HEIGHTS BLK 2 LT 1 Parcel ID: 01509334000 Permit: OSP171312 Septic Report Type: On-Site Review Completed By: R.Carroll The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: 1. Confirm no additional bedrooms in detached garage. }Dia tNr-rig.G ate, 'CX_______ Its f - 2. Provide "For Construction" drawings. i `- MUNICIPALITY OF ANCHORAGE DF. 3TMENT OF HEALTH AND HUMAN SER ES - Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES ~0 SEPTIC ABSORPTION Address I e, o~t C.,',,.J,3 Lee L,,-~e--~" TANK FIELD WELL LEGAL DESCRIPTION Lot t Block ~ ~oni~ ~ ,~ A ~ FOUNDATION Township, Range, Section AS-BUILT DIAGRAM (Show Iocahon of well, septic system, property hnes, foundation, ~ / 3 ~/~ ~ ~ 3 ~ dr,veway, water bodies, etc.) TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN . :~ ~ ~THER Tot at~p~ frOm~fl~lnal gra~e Depth to p~pe bottom from J original grade ~ FTI , , I ~ ¢, FT "1 Fdl added above orig,nal grade Gravel ~epth bene~th~p,p~ FT FT Total absorpbon area ~tan~e ~tw~ lines ~ z O SO FT ¢ FT Number el Imes Soft rating Pipe material / /5~0 SQ FT c / Installer Date WELLS Classlficat,on rA,B,C)U hC' FT/ FT insta~le~ ~ Date Installed: · Inspections Pedormed by: /0 zO Municipal and State ~ines in effect 0n this date: " Health Depa.men, Approval: ~'~ ¢ 72-013 (3/85) (907) 243-2282 KEN JOHNSON KEN,$ COMPANY WATE 'P H~G! 3 3 19S? RECEIVED MIKE PRATT PRATT CONSTRUCTION 1809 CINDYLEE LANE ANCHORAGE, ALASKA 99507 ( 562-5982 REm LOT ONE BLOCK TWO CONIFER HEIGHTS SUBD. WAT.ER W~LL LQ.G 3163 LINDEN DRIVE ANCHORAGE, ALASKA 99502 NOVEMBER 19, 1986 Pager 268-6314 ) 0 ft to 8 ft Dirt.. FILL 8 ft to 16 ft Black Organi~..Trace of fine gray 16 ft Zo 22 ft Med. gray & brown silt 22 ft to 66 ft Med. gray & gray silt 66 ft to 77 ft Course'grav & gray silt 77 ft to 80 ft Same with finer gray 80 ft to 86 ft Ned ~rav & gray silt 86 ft to 99 ft Courser grav& gray silt 99 ft to 102 ft Clean Ned ~rav & sand Water-bearing.. Overnite i5 ft head..Test bailed.. 100% drawdown & recovers at 3 GPM 102 ft to 112 ft Ned gray & light brown silt ..dry .. 112 ft to 113 ft Over night weep in 17 ft head..recovers at I GPM · Med. gray & ~and 113 ft to 116 ft Ned grav& brn silt ..dry .. 116 ft to 118 ft Same..Weeps H20 .. Tight.. 118 ft to 130 ft Med. grav& brn silt..drills open..dry.. 130 ft to 135 ft Fractured Bedrock..Weeps H20.. I GPM.. Casing refusal at 135 ft GL .. 135 ft to 153 ft Firm rock with occasional fracture.. Yields Approx. 1~5 GPN. Overnight Static 90"-6". ~ERFORATED CA~ING WI~H STAR-PERFORATOR AT FOLLOWING DEPTHS FROM G.L. SAMPLE PERFORATIONS ON TOP OF CASING.. 98 ft to 102 ft 112 ft to 113 ft 116 ft to 118 ft 130 ft to 133 ft SURGED PERF. & JEST BAILED STATIC WATER, LEVEL 85 ft. ( TOC ) Test bailed at 10 GPM Good recovery 14 ft Drawdown...TOTAL DEPTH 153 ft ( TOC ) TOTAL CASING 136 ft 6 in. i(}Ei;F::?4F..."TIq[ii]',FT OF iiEi:AL'I"F'I At"',])} E!NY.": :[ I:::.:OIqME!]?FA] .... F::'!::;~O'T'Ei:ETT' I [::)lq ',E~ 2':': !:.i:; J... ':::~'' ~':'' ~'' i':'-'-! ........ I ,',,:::.,:.:. , , ANC;i"'i[iJI:d:"~ 2 iE, ~ql':: 995C) 1 2. 64 '"" 'q. 720 ANCHORAGE,~, AK 99507 SUBD I ',21S 101",1 ] (:.";[]lq I FER H]"S. SECT I OIq: 13 ]"OWNSH I P: .]!;C)OC)O (SQ ,, I:::']" ,, C)R ACI:';:ES ) 4 DiEI:::'!'H '1 L) i'::'].i::'E ~2C)'f"I"!]M (F-T ,, ) Gl;:;h':.:'d,/!i!i:l I}E];::' I'H (F:"I"~ "I'(3'IAI .(:)liii:l:':"l't"i (F"t,,) Gi::;:AVIEI .... I..-'.~ :I: [:)"I'1'"1 (F"t ,, [::)F;:AVI:ii]... L. Ei"..Ii3"IH (F:'T.) GRAVE] .... \.,'C)L. LJME: (Ct...t,, YDS,, "l"Alql< S :I: Z E (GAt...S > S 0 ;I: I .... i::;: A'T' :[ h. IE:i ( 'ii!~Q., F:' 'T' .. / E':R :1 .... [ am ~: ami :1. :i. ar' with .l.'.l-i(.:.'::, r'equ:i.r'omer"vt'..s .,'.'c)r' c)r'l.....s:i, te sewePs and we:l. is a~.~ set ~:'c:,r, tl'i l:::,y th,:<e Mun:i.c:ipalitv o~:' Ar]chot-age (MC)A) and the State c,t:' A.l. asl.::a,, 2,, ]. ~4:i. Ll :i. nsta].l 'Lhe system in acc:oh"dance w:i. th all I:'IC}A codes and and :i.i"~ cC)ml::i.',.iar~ce witl"i the design (:.::r':i. teP:i.a ol:' th:i.s per'm:i.t,, .r t.. ~.::) ........ 3,, .~. ~..,~:i. ..... :i. iadh,:.:.:-:,r-,.::<.:, .t. o al ]. MOA and S'i:.ate c:)-i' Alasl.::a r'e:.:qui r'6'.:mer~ts F(::.u ......... :~:,,::..: ~.. I:::,ack :::I :i. sLa'..u"~ce~:, l:' ~' om any ex ist :i. ng t,,,,e-'.:,! ;l. ~, [,.,u?..'~e~.tewa't:.er. d :i. sposal system c:,~" pub I :i. c ...... '~ ' "~' ",; E~E':,~...'.H.::.)i" .E:'~Ct('E' !(i~'.:,/':'B't'..(.;.Z,f'/i (::)r"~ 't'..l"i :i. s (::)i' an'v' ad.i .:..:.,...,~._-.,i ,... ,:::)1'- l']E.?.al" b ;, ,, .':;I.,, ]: U.t"IC!E,r'!E.L:i.:d"iCl 'Lha'L th:i.s per'mit :i.s va'..'~].:i.(:J ['C)l" a i'fia>,':i, rt'lLt, tt'l of:' 4 l::::edr'c)c:,FFp.'i~ ?:';: r"~ ',,, ,'.:.:.) l ~ ]. ...it;. l" ,~;'.! (.:-:.mi e l"'~ 'l:.. t,,..~i:l.], r'6:.:citJ.:i.f'o ar'i ach::l:i.t:i, or'lal ALASKA ENVIRONMENTAL CONTROL SERVI( ', INC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 561-5040 SHEET NO. ~ CALCULATED BY , b~ CHECKED BY SCALE I 2 ¢'~C OF DATE DATE - Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: (EN~L) 1 2 4 6 7 9 Township, Range, Section: SLOPE SITE PLA~ 10 11 12 13 14 15 16 17 18 19 20 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? nepth ~ Water ~er Monitoring? Date: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT A..ND l FT PERFORMED BY: _~ -- ~- :~ ~~, ~ _ ~-'~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~ '-- ~ "'~I~'~ of Anchorage P.O.E ;196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES June 23, 1986 W.M. Pratt 1809 Candy Lee Lane Anchorage, Alaska 99507 Subject: Lot 1 Block 2 Conifer Heights Subdivision On-site Sewer & Well Permit #860061 - Issued February 28, 1986 On May 20, 1986, The Anchorage Assembly approved a new ordinance regulating on-site wastewater disposal systems (septic systems). Ail septic systems constructed after the effective date of this ordinance are subject to the provisions of this ordinance. Our records show that you currently hold a permit for the installation of a septic system. We strongly urge that you contact this office prior to constructing your system. Any changes in the code that could impact the construction requirements of your septic system will be identified and brought to your attention. Please contact the Environmental Services Division at 264-4720. Thank you for your cooperation. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/SSM/ljw MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES. Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description /-o"~' /, '~/49~c. Lj s. Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone c\ q i to Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Front MOA#21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 /~J'b~-'P,-~o ~ ~/~'~,,J/-.,/,,,J-~'~'"7'ClAJ C, Phone -~"/~- c/-"~'~' I Address ]:::>0~ ~OX. Zq-0'77.~ ~04/. AIL-- ~'95-"¢'¢ EngineeCs signature / ' DHHS SIGNATURE ,,/~"" Approved for //~' Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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. 72-025(Rev, I/91) Back MOA#21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITy APPROVAL CHECKLIST Legal Description: l~o'r' l~ ~coc~. Z.~ ~r~,~L /-J-r~. Parcel I.D. A. Well Data Well type ~;:>~ ~J~T~ Log present (Y/N) Total depth /-~ ~ Sanitary seal (Y/N) ? If A, B, or C, attach ADEC letter. ADEC water system number ~ Date completed l//l~/,~ Driller ~ Cased to /.~,. ~ / Casing height Wires properly protected (Y/N) Date of test Static water level Well flow Pump level1 FROM WELL LOG IO.O AT INSPECTION ! g.p.m. ?.'7 g.p.m. SEPARATION DISTANCES FROM WELL TO: I Septic/holding tank on lot ~ / O0 Absorption field on lot ~ /0 0 Public sewer main ~/~ Sewer service line ~' ~ / ; On adjacent lots ; On adjacent lots /~/00 ~ Public sewer manhole/cleanout /',J/,~ I Petroleum tank ~' Z'~-' WATER SAMPLE RESULTS: Coliform ~) Nitrate Date of sample: *~//~/'~ 5/ / ~'. ~ ~'- ~1/~ Other bacteria Collected by: /Y~ ~ B. SEPTIC/HOLDING TANK DATA Date installed / ~/'~:~/~ ~, Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size /~ Z-5'0 Foundation cleanout (Y/N) ~ Compartments 7__ ~ Depression (Y/N) Alarm tested (Y/N) Pumper ~:~ ~ ~)h M ~L~) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot '> / ~ 0 ~ On adjacent lots To property line '~/O t Absorption field Su dace water/drainage /~ O ~/~ Foundation Water main/service line 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) Manhole/Access (Y/N) "Pump off" Level at .Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Sudace water D. ABSORPTION FIELD DATA Date installed / 0/'z.O / ~, ~ Length ~/-~" Width Total absorption area 7 ~ ~ z. Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) FT:.. 7~.bj.~v~7/._ System type ~ c~ / S ~ Total depth / ~ Depression over field (Y/N) for 'Mu~ After test ~' If yes, gbe date ~/~ Soil rating (GPD/Ft2) Gravel thickness Cleanout present (Y/N) Y Results (pass/fail) Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: t Well on lot To building foundation On adjacent lots Surface water Curtain drain On adjacent lots '~/(.PD / Property line ~/0 ¢ To existing or abandoned system on lot ':> ::?, 0 / Cutbank A/O g~ Water main/service line ,~/P/J ~' Driveway, parking/vehicle storage area A~o~J ~' ->/0¢ E. ENGINEER'S CERTIFICATION I cerb'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in e~~l~tte~¢f this inspect'on. Engin~esName ~i~4~ ~ ~~o~ .a,e HAA Fee $ ¢f-2 Date of Payment Receipt Number 72-026 (3/93)- Back Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Se~ction P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # ~) ~-~ - CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA# 1. GENERAL INFORMATION Complete legal ~lescription Lot I; Block 2; Conifer Heights Subdivision; Location (site address or directions) 8061 Downhill Cir~ Property owner Mailing address Lending agency Mailing address Agent Mik~ K~lly Address Ron ~ Ruth Diltz P:0~Bnx 1!0q~o A~hnwa?.: A£aska Vista Realt~ Day phone 562-2264 995~ 1-0950 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: __4 TYPE OF WATER SUPPLY: Individual well NOTE: Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 '¢;n?~.,*, F.~,~I~ ;~ivef ~o~p ~oad No. 204 Phone E~gle River, Alaska 9957~ Address Engineer's signature DHHS SIGNATURE Approved for /~'~//~/~)bedrooms. Disapproved. Conditional approval for bedrooms, Date , ~¢'~/1~/~( with the following stipulations: By: Additional Comments Nn~-_ The w~'l '1 for th"is property meets ¢.xist-_ing State and Municipal Codes. There are nitrates present. It is s~ .......... ~.. ......... ~ ~ performed to ....... continued suitability. Nitrate concentration is 5.4 mg/1. EPA ~~~.~~/- Date ¢/~/ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The 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 engineeCs work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage ~i~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~.~ \ ['~'~_V...?.. ~..o~,t~,...~_ ~{1"~. Parcel I.D. A. WELL DATA Well type 12'P,~',J Log present (~/N) Total depth ~'~ Sanitary seal ~N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to \'~ I~ ,/ FROM WELL LOG Date of test' Static water level Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Public sewer service line Petroleum tank \o~ .. ~5 L~ Driller ~-..~,,J.'~ /% Casing height Wires properly protected (~N) AT INSPECTION :::I:: o g.p.m. L~,I~ ~ g.l~r~ ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout ~'~ WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts ~)N) High water alarm (Y~[~ Date of pumping ~'- Nitrate Other bacteria 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 Tank size [ ?.-~"C> Compartments -7--. Foundation cleanout ~N) '~' Depression (Y~) Alarm tested (Y/N) Collected by: SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ICrC To property line Surface water/drainage On adjacent lots \ C~c~ ~ ~'' Foundation Absorption field :~ / ~' Water main/service line 72-026 (Rev, 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) "Pump on" level at Manhole/Access (Y/N) High water alarm level ...--~' Meets MOA elect~ STATioN'To: STANCEwell on lot ~ FROM LIFT On adjacent lots ....-~ Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed ~,(~- Length . _ ~t~" fWidth Total absorption area -~ ~,O ~1~ Depression over field (Y~ Results .{~/fail) Peroxide treatment (past 12 months) (Y~ Soil rating J 5'D ~,~- System type Gravel thickness Cleanouts present ~/N) Date of adequacy test for OA/A",~/0/,,4/~ If yes, give date Total depth bedrooms On adjacent lots Surface water Curtain drain SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation E. ENGIN'EER'S~CERTIFICATION ': On adjacent lots ~, O ~ ' ~" Property line ~0 To existing or abandoned system on lot Cutbank ~J J~ Water main/service line Driveway, parking/vehicle storage area I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature 5 & ~ ENG ~ 7034 ..F]]a~jle River L~op Roaci No. 204 Engineer's Name,.,- -; .... Date ~ ~ / Waiver Fee: $ . Date of Payment Receipt Number HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ,~' -~'~ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address Or di'rections) (b)' Applicant Name /['/fK'E'' ,~/~?/" Telephone: Home Business ~-~,,~- ~'// Applicant Address /~ C//,,'~¢ ~ /--v~E" ~d~,, /~. (c) . Applicant is (check o,rl.e.): Lending Institution [] · Owner/builder's; Buyer []; Other [] (explain); (d) (e) Lending Institution d~')~/'~'~r ~ ~Ta~/' /-¢o~./"~--~" Telephone Real Estate Company ·and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~ Multi-Family [] r Number of Bedrooms z~ Other 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~f,, 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 (11/84) ENGINEERING FIRM PROVIDIh .NSPECTIONS, TESTS, FILE SEARCH, DA . AND INFORMATION 'N,~-- As certified by my seal affixed hereto and as of the validation date shown below, I verify that m,y investigation of t.his, He~, Authority Approval shows that the on-site water supply and/or wastewater disposal system is ~afe, functional and'adequat~ for the number of bedrooms and type of structure indicated herein. I further verify that based on the information.obtai ,ri,ed 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 i~ ~ffect on ~1~ the date of this inspection. Name of Firm ,/~ Telephone ~ ?"~"'~/~ Address /'~'~ ~ ~.~--~ /,f~'E-' .~-#~7'Z~ z~ /"/~' ~ ~?~ Date Approved for ~ bedrooms by Date ,A~pr~vcd~ -ENsaf~r-o.ved- Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the 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 requirements. Employees of DHEP 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 {11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ~-r/ WELL DATA Well Classification Well Log Present~/~l) ! Total Depth /~'.~ Cased to Static Water Level ~".5'" Casing Height Above Ground Electrical Wiring in Conduit (~) Separation Distances from Well: To Septic/Holding Tank on Lot //'~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole ~/~' Water Sample Collected by /~'E'~--$ Water Sample Test Results If A, B, C, D.E.C. Approved (Y/N) Date Completed //-/~ -,~/~ Yield / Depth of Grouting Pump Set At Sanitary Seal on Casing(~N) Depression Around Wellhead (Y~) · On Adjoining Lots ! /O(,, ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot /,~/,f · Date Comments B. SEPTIC/HOLDING TANK DATA Date Installed tO.-~.,~*-~ Size t Standpipes{~N) Air-tight Caps ~IN) Depression over Tank (Y~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Sep~.~ng Tank: To Water-Supply Well ~ //~' ! To Property Line To Water Main/Service Line ! Course /o~J .-/- No. of Compartments ~ Foundation Cleanout~l) Date Last Pum ped a//,4 ~ '~J/~ · for /~-J//~' Temporary Holding Tank Permit (Y/N) ,'~ To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ,/O '-Z.~ '-,~,, Width of Field ~' Square Feet of Absorption Area 7,P-,'O Depression over Fielct~Y/)N) Results of Last Adequacy Test Separation Distance from Absorption Field: Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present ~N) Date of Last Adequacy Test To Water-Su pply Well To Building Foundation Lot To Water Main/Service Line /0 To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~,e&'5~ /~u~ To Property Line $7'~/J~A,~' To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) , ~/~ D. LIFT STATION Date I nstal~J:~-,~..,.,~_ ....--'. , ½/ Size in Gallons -~..~//, "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/NI Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at . .. Vent (Y/N) .... mping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I h~,~he/~ed~;.v~ri, ffied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ ~4./~.-.--- Date ~.~ Company /~-'~ MOA No. ~ Receipt No. Lc)("t"~, - (('~"~, '~J ' Date of Payment ~t~. Amount: $ \~ ~ Page 2 of 2 72-026 (11/84)