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HomeMy WebLinkAboutHUNDRED HILLS 1ST ADDITION BLK 5 LT 1Hundred Hills 1st Addition Block 5 Lot 1 #078 - 191 - 13 Certified Drilling Log 1$WL iN H ATER WELLS P0. Box 670269, Chugiak, AK 99567 888-2759 OWNER OF LAND: Michael & Andra Rasmussen ADDRESS: LEGAL DESCRIPTION Hundred Hills 1st Add. Bik 5 Lot 1 DATE: 8/4/14 PERMIT NUMBER: OSP141267 DATE OF ISSUE: TAX IDENTIFICATION NUMBER 07819113000 7/22/14 Is well located at approved permit location: ®Yes ❑No Method of Drilling: Nair rotary ❑cable tool Depth of Well: 145' Casing Type: Steel Diameter: 6 Liner type None Wall thickness inches, depth .025 122 inches feet Static Water Level: 64 Recovery Rate 3 Method of Testing Air ® gpm feet ❑ gph Well Intake Opening Type: ❑ open end ❑open hole n Screened Start feet Stopped ® Perforations Start feet Stopped Grout Type: Bentonite chips Volume: Depth: from 2 feet, to 22 feet Well Disinfected Upon Completion: nes n no Method of Disinfection: Chlorine 50ppm Comments: Casing perforated from 80' to 85' and 89' to 99' Bore Hole Data Depth From To 0 2 2 4 4 6 6 79 79 85 85 105 105 145 Casing stickup Fill Overburden Hardpan Bleeding Hardpan Bedrock decom posed Bedrock broken gray w/ quartz Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. On -Site Water & Wastewater System Permit 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 Permit Number: OSP141267 Tax Code Number: 07819113000 Work Type: WellSeptic Renewal Permit Effective Dates: July 22, 2014 to July 22, 2015 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: HUNDRED HILLS 1ST ADDITION Site Legal Address: HUNDRED HILLS 1ST ADDITION BLK 5 LT 1 G:1160 Owner/Address: RASMUSSEN MICHAEL J & ANDRA 19132 TRAIL BAY DRIVE EAGLE RIVER AK 995778592 Site Mailing Address: This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage Lot Size in Sq Ft: 297317 Total Bedrooms: 3 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. Received By: Issued By: Date: 7 Date: +7 MUNICIPALITY OF ANCHORAGE RUSH Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel LD.®7 EV•—/3 Property owner(s) Wt (C UA WL t`att S'M 0 SSA &) Day phone TOO—! 4 cr & Mailing address / / 3 2 lz A I Lt A —grg.0 t.4 Q QS-7- Site S-7Site address ✓I%/4 -N WOLF AWL,ofs Legal description (Sub'd., Block & Lot) t/ 'O,' C t 44–(CIC II L Legal description (Township, Range & Section) Irv' �1ks 1st 6406.-tann Lot Size ZR 3(?- Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (EI all that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage APPLICATION IS AN: Initial Upgrade Renewal RUSH TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings (SF and/or D) 0 SUBMITTAL JUL 2 1 2014 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) RUSH Permit/Rush Fees: 544. 215' 410.46 Date of Payment: 7I21 I1tI Date of Payment Receipt Number: t O'rti G Receipt Number: Permit No. OSP 14 12toe1 Waiver No. Waiver Fees: Permit App_9-1-12.doc Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com July 21, 2014 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Hundred Hills Add No. 1, Block 5, Lot 1 Septic System Permit Renewal Request Ladies and Gentlemen: RUSH I am writing to request that the permit (Permit SW950303, PID 078-191-13) to install the previously designed wastewater system and water supply system be reissued for this lot. A site visit has been performed and it has been verified that the soil conditions at the present time have stayed the same as when the permit was issued in 1995. We performed water monitoring this date and found the test hole to be dry. The Original plan showed the driveway to the house below the proposed drainfield. The driveway was installed above the proposed drainfield. There are no excessive slopes or cut banks within 50 feet down hill of the proposed drainfield. The required separation distances can and will be met for all systems. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 200 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. RUSH Sincerely, Cr?F i • • • Steven R. Pannone, P.E. Principal Attachments: Mailing: P.Q. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 S S Eng7neigntnG RIVER ^�..�. RIVER W HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIDNS SEWER &WATER INSPECTION ENGINEERINGSTUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN ROILIEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SISTEM DESIGN ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. September 18, 1995 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 1, Block 5, Hundred Hills S/D CIVIL ENGINEERS (907) 694-2979 FAX(907) 694-1211 Request you issue a permit to drill a well and install a septic system to serve the proposed three bedroom house on the referenced property. A test hole was excavated and 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. There are no points of contamination within the proposed well radius which can be seen on the attached site plan. If you require additional information, please contact us. Sincerely, *17 ..- Robert C. Cowan, P.E. RCC/gk Enclosure ,"Z oz_` rn n zr, rn 3 I m N 0 w O <A T 5. rn CD n 0 ca,o 0 No, O rn Z 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER ALASKA 99577 x 'weak` 'NI ti k V N •r lasktivairir L O u) 01 [bI Q I Oi U! H Q J 0 LJ tY 0 U Z 0 0 J D3 T-• 1- 0 J u7 U O 4 Ia 0 O C7 X W Q 0 0 4Z K O x < 00 LJ W-. j- OW adz dV) o�� o CC U D O 2 I ce Q 7 }-- • Zao� o mixo 0cQ- Z % I- - Z O o Z -FC� 3 W Z U _, O .4 Q I- != V0 m d 0 ''°Wf iQ %Uma- • h-1 w W Wm =LWW CC 1- m Z O ZzWO OJ a< W> Y d FN -a0 H W wW7- iZ--i_0 m1 -w (zm NN?o2a �F-J F��WQO Q __�_-_ Om WWw HZ I -0 ix /'Qi �� moa (1 v) 4 DODO W O� 1 -ti C-' 0�U1 Q 3' d d d — 1N3W3SV3 13373 QNB •W033131 ,0£ rzi mc�,� L0 / W 0 VI O F-- ' co lt7 W } • N z >Np>/ t� W ON jx U) LLJ 04 O W >- < w d 0 0 �'`iy 3 W d=WN0-114 04 O,. -.r' SOON '���]]F,� F -0Z0. tom- U > 0 Ww 00 W4 W ow. Ews 0) uM 7N aArnu 1± IOM NOIS3Q Nfd 3115 eiroe 6DV = .,,1 PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST /(z/ane ct7/4ri LEGAL DESCRIPTION (EN EAL) OF-`i tp"c ,,, .;Likth•+ KIK{�{1{,{N.K14/111 4.1,4 4141 C. COW . i... itT •\ C ••,'•.1 DATE PERFORMED(` 8 /4 /74_%- !/6wnship, Range, Section: SLOPE SITE PLAN Th WAS GROUND WATER An...) ENCOUNTERED? 8801 r°. 4. 4 N e l2 ck. S IF YES, AT WHAT — L DEPTH? `S/p, .O P E 1� Depth to Waler After MsnilsrifpT D� -. 9-1 b'%s ,.r'w' C S2:-) Gr _ ✓J Reeding- •• -Date.. Gross Sime Ne Time Depth to Water Net Drop fl3./o 2 i M MAIMIE325•111 ION ZiNtein — Win Mal MIMI /0 im fig /0 211111113113IS d EC= /v 1447 v/,®arnan 7 -�E+�/Q �© /i2 IIIMILIIIIIIarlillui ; -0/' /oynl,J /o ti SWIMS PERCOLATION RATE j ____ (minutes/inch) PERC HOLE DIAMETER 4 1 TEST RUN BETWEEN T FT AND S FT • COMMENTS PERFORMED 8Y:S & S ENGINEERING 9 Oa 4 I /( 'fr'✓t - CERTIFY THAT TI315 TESL WAS PERFORMED IN Y$T� ACCORDANCE i6tallie atlitW4SSS/ nPAL GUIDELINES IN EFFECT ON THIS DATE. DATE- 1 ! a'v /9 5- 72-008 (Rev. 4/85) Rick Mystrom, Mayor Iti icipali(y of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 October 3, 1996 Earlene Culbert 3940 W 4100 S West Valley City, UT 84210 Subject: Lot 1 Block 5 Hundred Hills 1st Addition Permit 11SW950303, PID 11078-191-13 The subject permit, issued October 2, 1995 by this office for a single family well and/or on-site wastewater system, has expired as of October 2, 1996. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. 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. Sincrely, Ja es Cross, E. P gram Manager On-site Services enc: Copy of Permit cc: S & S Engineering 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:SW950303 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:OSTDIEK ELDON J OWNER ADDRESS:P.O. BOX 774.627 EAGLE RIVER, AL 99577 PARCEL ID:07819113 LEGAL DESCRIPTION: HUNDRED HILLS 1ST ADDITION BLK 5 LT 1 LOT SIZE: 297 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED:10/02/95 EXPIRATION DATE:10/02/96 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 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: RECEIVED BY: ISSUED BY: d4(1-(,/ ,!7 ti Yom' l�llo CIJ DATE: DATE : /6//4'7/-;K't S&S Engineeizinq EAGLE RNER. ALSKA HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. September 18, 1995 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 1, Block 5, Hundred Hills S/D CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 Request you issue a permit to drill a well and install a septic system to serve the proposed three bedroom house on the referenced property. A test hole was excavated and 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. There are no points of contamination within the proposed well radius which can be seen on the attached site plan. If you require additional information, please contact us. Sincerely, 71677 Robert C. Cowan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 SITE PLAN DESIGN SCALE O -r 7300= t- o Jtrix�d-0mc-D ��� o��o O 0 11 o Cy'z vID-< 9 0 O m N ZIv�m NON< Z W N O N C U m 0 - -C WOLF DRIVE r m G) r o -I -i >v)u) (-.-7) O _ Z= -I ><N DSC m 0 — 1 --I z ' c cwn.<ml—Ic�m nr)Nr-1-I- D ZNNt—I = o o�CNn zZN C=nm m rn m O N w� m Z 171- -I 0 -1 7(I) 73 r- N m » -< 00�--iZ0 1EC ZDV Z 5) -IL mrrl='4o�mr''1 (nOP1�-' Z 0 � m0� N0 p13zz v)> D I i 0 D 0 2 o-{,_.4 �m Z . O 0 -1 z r- 0 r- 0 0 n n U) U Z 0 0 X Irl 0 r I- T) U A- m I W c9 7 O m m 7.1r m \°° 10- r- 0 0 0 r m z m (1)0 M 'v -0 0 --I V) m D Z O O 0 D r 0..cw Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: .F4/1.?/(9//e) a( teed LEGAL DESCRIPTION: `�' / ?SS /A/7441/776746wnship, Range, Section: SLOPE (EN AL) „Ogre OPA 'n' I.!, IM NIKT H.',a14ah1U)j I' ;a It ROBERT C. COWA, f e., • - 8801 ,+ ' C DATE PER FOR ME.'4:`• : S , Z `IJ`)w % WAS GROUND WATER ENCOUNTERED? IF YES, AT W HAT - - -, DEPTH? S L 0 P SITE PLAN I N Ct Depth to Vrater Atter MonitorikD? Ditk 9-4 -9S- Reading Date Gross - Time Ne Time Depth to Water Net Drop �'2t//5 3' ,_ 7 // 9 4" t._, Z. -1-L.', 2 3./OpM 10wi1ti 3 / ___l/e d 3:z1'd ,'_/- /' `f /c1"/' -J /0 L• or 2 L ` S d '3 `3o( /Of'4/si 70 /,..` 2- fZ• 7 ea—y f/.e / 7, 2.- a-2; 4/0 / 0 t/' / nJ / 0 / ` 2 it, —\___ iJ — =— =i PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND FT COMMENTS PERFORMED BY S & S ENGINEERING / 1�11�/ 17034 Eagle River Loop Road No. 204 CERTIFY THAT TI IS TESD WAS PERFORMED IN ACCORDANCE vaTtletRIIroALAIIbaNA9lJPAL GUIDELINES IN EFFECT ON THIS DATE. DATE - 72 -008 (Rev. 4/85) cf -o S