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HomeMy WebLinkAboutMOUNTAINSIDE VILLAGE #1 BLK 4 LT 9-- - ;i t` r - - ' z - - -___ `i £ TF _- L - - F F �ba� �na-x-18 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: OSP241068 Work Type: SepticTank Upgrade Tax Code Number: 02017248000 Site Legal Address: MOUNTAINSIDE VILLAGE #1 BLK 4 LT 9 G:3439 Site Mailing Address: 17446 WOLF CREEK DR, Anchorage Owner: BRENEMAN CHARLES & DOROTHEA Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: nt llepartmeiit 4/26/2024 4/26/2025 59503 ❑ 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 Received -By: 4, S Issued By: Date: Date: C I,,6 Z� 4 �1y/�UMMPAUTY OF HC COO RAGE Community Development Department ^ i - 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. 020-172-48 Property owner(s) Charles & Dorothea Breneman Mailing address Site address 17446 Wolf Creek Drive Day phone Legal description (Sub'd., Block & Lot) Mountainside Village #1, Block 4, Lot 9 Legal description (Township, Range & Section) Lot Size 59,503 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) x❑ Septic Tank ElUpgrade ❑X (w/wo ADU) Holding Tank El Renewal❑ (D) ElRenewal Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: 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: 122 S Waiver Fees: Date of Payment: t -I &k -AY Date of Payment: Receipt Number: Qq S c17V;' Receipt Number: Permit No. -2c' An fors Waiver No. Permit App_-'- : :_'_:c 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 99519 Subject:   Mountainside Village #1, Block 4, Lot 9          Emergency Septic Tank Upgrade Permit Request     Design Narrative This is a design narrative for a permit to install a 1,500‐gallon S.T.E.P. tank to replace an existing 1250‐gallon septic tank and auxiliary pump vault.  The existing tank has collapsed. Currently the lot is developed. The proposed system will utilize a replacement 1,500‐gallon S.T.E.P. tank that will be connected to the existing drain field.  This lot and the surrounding lots are served by private wells.  There are no wells within 100’ of this upgrade. 1. Upgrade Tank Design. The tank will be located:  5’+ from any property line.         5’+ from any deck/stair support. 5’+ from any drain field.         10’+ from building foundation.         10’+ from any water line.         100’+ from any surface water.         100’+ from any private wells.         200’+ from any public wells. The proposed installation will not affect the future development of this or the 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 25 April, 2024 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241068, Deb Wockenfuss, 04/26/24 FOR CONSTRUCTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241068, Deb Wockenfuss, 04/26/24 FOR CONSTRUCTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241068, Deb Wockenfuss, 04/26/24 Municipality of Anchorage .•� ;t'n Development Services Department Building Safety Division ...... On-Site Water and Wastewater Program, 4700 S. Bragaw, St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.cl.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW030428 PID Number. 020-172-48 Name: Charles & Dorothea Breneman tewater System: Q New Upgrade Address 17,446 Wolf Creek Drive ABSORPTION FIELD Ph": 345-5169 Number or Bedroorns: 4 171 Deep Trench 17 Shanow ch ❑Betl ❑Mand QOlher LEGAL LEGAL DESCRIPTION sal Rauni from original Depth frooriginal grade: Block: Subdivision: 4 9 Mountainside Village #1 GPD � Depth to pipe bottom from original grade: FI. OapN beneath pipe: FI FL Tom 1p: NA Range: Section: Fill added above original grade: Gravel Leng FI. Ft. 'Well: ❑ New ❑ Upgrade Gravel width: Number of bnen: D nce De ween lines: Fl. Fl. classdicalpn (Pnvele, Existing private Total Depth: Cased to: Total absorpim area: Pipe Material: % Ft FL Flt Dreler. rrlled: SlebC Water Laval: Installer. installed: FL A Plus Home Services 10-28-03 Yield:Pump set at: casingGround: GPM Fl. Ft. TANK SEPARATION DISTANCES ❑Septic ❑Holding P. ❑Other. To Septic Absorption Lift Holding lubilctPrtvate na acturerpeon: From Tank Field Station Tank Sewer Line Gal. wen 100+ 100+ 100+ NA NA Malenal: Number nments: surfaw water 100+ 100+ 100+ NA I*pMP LIFT STATION Lot Line 50+ 10+ 60+ NA 500cal. anti aAnchoracture'. g e Tank & Welding Foundabon 10+ 50+ 35 NA ", level at 'Pump W level at tsgh water slam) at 44 In. 38 ,� 51 IM ctatain gran NA NA NA NA Pump Make d Model Elecu" Inspections performed by. Orenco P20 NA - replacement of LS Remarks' Old lift station was abandoned in place. BENCH MARK New lift station installed. Double cleanout installed. Location and Descrptgn:garage floor No change to tank or drainfield. Relative elevation ssumed Ievabon: 100.0 FL of top of manhole = 92.32. Engineers Stamp Inspections performed by: Cindy W. Ellis, P.E.st 10-28-03 Dates: 1 * q 9TH' 2nd '* IAI Development Services Department Approval,;. Cin Reviewed and approved by: Date: Z I v c, y W Ellis �': CE-10577 (Rev. 12,11)12,11)12,11)(1). VV WELL C 100 ft well radius FCO B 1250 gal steel septic DCO. tank. Installed 1992. FF 0Cr No change. , O Lift ation abandoned in place �% New 500 gal Lift Station Installed. C 100 ft well radius Lot 9 Drain field (1992) VVMT Mark A B Lift Station 46.2 49.8 DC01 44.2 39.4 DCO2 44.0 38.8 Mountainside Village, Addn. #1, Blk 4, Lot 9 Septic AS -BUILT PID #: 020-172-48 Charles & Dorothea Breneman Permit #: SW030428 Cindy W. Ellis, P.E. Watkins Engineering, Inc. November 7, 2003 Scale: 1" = 40 ft C? WELL Lot 10 49LHHW rzr 1' M C14y W. Ellis CE • ios» MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 09, 2003 Expiration Date: Oct 08, 2004 Permit Number: SW030428 Parcel ID: 020-172-48 Legal Description: MOUNTAINSIDE,VILLAGE.#1.BLK-.A'L'T.-:9�, Design Engineer: 0844 Watkins Engineering, Inc Site Address: Owner Name: DOROTHEA & CHARLES BRENEMAN Owner Address: 17446 WOLF CREEK DRIVE ANCHORAGE , AK 99516-5740 Lot Size: 59503 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: /� —1 -() J ���•""y Date: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program ` 4700 South Bragaw St. ° " ` P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-17248 Permit Number SW630428 Property owner(s) Dorothea & Charles Breneman Day phone 552-7907 Mailing address (1) 17,446 Wolf Creek Dr. Mailing address (2) Anchorage, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Mountainside Village Addn. #1, Blk 4, Lot 9 Legal description (Section, Township & Range) Lot Size 59,503 Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade El THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: X�n UU Waiver Fees: _ Date of Payment: (0-9-0 V 4 Date of Payment: Receipt Number: S)(A `� 5 A 0 Receipt Number: (Rev. 12/00) Watkins Engineering, Inc. RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis®gci.net October 9, 2003 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Mountainside Village, Addn#1, Blk 4, Lot 9 Lift Station Replacement To Whom It May Concern: Attached please find an application to install a new 500 gallon steel Anchorage Tank lift station at the referenced 4 bedroom house in Anchorage. The existing Acreage Systems lift station, installed in 1992, has collapsed and will be abandoned in place. There are no apparent problems with the existing 1250 gal steel septic tank, so no work is proposed for it. No work is proposed on the drain field, because the water levels in the monitoring tubes are low. The new lift station will be placed more than 100 ft away from any private wells or surface water. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851 or 360-3389 (cell). Yours truly, Cindy Willis, P.E. President E5 3, Lot 10 12 Elk 3, Lot 11 WELL O WELL p Q� Undeveloped Q � g / 8 p WELL Mountainside Village, Addn #1, Blk 4, Lot 9 Septic Upgrade Site Plan Charles & Dorothea Brenemen 15 UNDEVELOPED Elk 3, lot 16 WELL WELL O I � 10 rind W Ellis PP October 9, 2003 Watkins Engineering, Inc. Scale 1" =100 ft 49TH -.l%_ AF�„ Cidy W. Ellis CE.low Municipality of Anchorage Page —]—of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastew,atter Disposal System and/or Well Inspection Report st Permit Number: �7�d® 17 PID Number: 4ZO / I Z#t Name: V s_�®_ ' V_rfAddress: �•r1! Wastewater System: XNew ❑ Upgrade ABSORPTION FIELD Phone: — No. of ewoms: (� El Deep Trench A.Shallow Trench El Bed C1 Mound ❑ Other ae LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: SGPD/Sq. Ft. _3 Lot: Block: u�+ Su bdivisioln,: I— 9 +_I_! { s' V t Ver Depth to pipe bottom from original grade: Ft. Gravel depth beneath pipe FL Township: Range: — Section: , X \ Fill added above original grade: Gravel length: A v �� Ft. _ Ft WELL; �Q New ❑Upgrade Gravel width: Number of lines: Distance between lines: /0 Ft. Ft. Classification (Private, A,B,C):� T�o9tal De the Cased To Total absorption area: � • ® Pipf mijenal: � 6 i FL � Ft. SQ. Ft. II& _ Driller: gg �/?? *n , t ` b o .moi kt lj DDaate Dril eed:9 1 i 0/ Zi Static Water Level. 9 FI. In taller: Date installed: Yield: +� Pump Set at: Casing aHeight Above Ground: TANK (o GPM Ft. — SEPARATION DISTANCES eptic ❑ Holding Manufacturer: j Capacity in gallons: To Septic Absorption Lin Holding Public/Private From Tank Field Station Tank Sewer Lines lG rr IL.. i V �T Well - , 0 %�� Material :E. 5 1 G6�✓ Number of Compartments: �s Wates MI /U� qtr ,� LIFT STATION Lot Line f-I7 p`� ize in gallons manufacturer: Q+ &AG -a 're`ms.. S Foundation 3+ / )VIA Pump on" leve}C rf "Pump of loyel atHigh wrater alarm at: Br0 �i ,� Curtain •r� /vA1R5 Pump Make &Model 49 J El e Ir al I specs ns erformed by: Drain Remarks: LiPr V-PAJ1DO r eo BENCH MARK Location and Description: 6A4XAGZ X?f�� td. Assumed Elevation O 0®— 100— L L F'�'1"1' �'' Inspections performed by: Dates: 1st Wit /F 2nd e,r 11tr5fCON.� 9h&A1v Department of Health and Human Services approval Reviewed and approved by: �� � '�Le Date: cf ) ,lam 72-013 (Rev. 9/91) MOA 25 tf I �i L( PO To Cc Df Fa STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD st.lt'" brand tax transmittal memo 7671 N IO pages ECTION CTRS SECTION TOWNSHIP RANGE MERIDIAN 0 0 From ❑> ❑W Co. pl --- --��— Phone w�� �y� WELL OWNER: Fax x# 3'13 • y � �� - -_ - .. _._.�_a�.•. — � '�l � ,.mac z—'—e _ -__ ....._ DEPTHS MEASURED FROMj$ jcasing top ❑ground surface WELL DEPTH: DATE OF COMPLETION Depth of hcle:_v tt ,L/ BOREHOLE DATA: Depth Depth of casing:e�_�ft �-, Material Type and Color From To DEPTH TO STATIC WATER LEVEL: �___•ft below f�=top of casing E) ground surface Date, `% METHOD OF DRILLING: air rotary ❑ cable tool ❑ other — — - — USE OF WELL: P,domestic ❑ irrigation ❑ monitor `, , ❑ public supply ❑ other -_ - _ CASING STIKUP: ft. Diam:in. to ft Casing type:!_.;�,'.. in. to It INTAKE OPENING TYPE: Elopen end ❑ screened JWELL to 4 ❑ perforated ;Z open hole Depths of openings: ___ to ft SCREEN TYPE:~_• Diam: in. Slot/Mesh Size: Length: ft GRAVEL PACK T PE: Volume used: Depth to top: GROUT TYA& _Volume: Depth: from ft to ft DEVELOPMENT METHOD: �. Duration: �_ j j I iJ I'•'li''- PUMPING LEVEL AND YIELD: a r ft after __2_. hrs pumping---/ gpm ;rvices PUMP INTAKE DEPTH: ft Horsepower: _ WELL DISINFECTED UPON COMPLETION? OYES ❑ NO CONTRACTOR INFORMATION: s— Re.gis; r � ,usiness Namee , Signature o Authorized espresen five ate REMARKS: PLEASE MAIL WHITE COPY OF LOO TO: DNR/DIVISION OF WATER PO BOX 772116 EAGLE RIVER AK 99577.2116 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:SW920017 DATE ISSUED: 2/25/92 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. EXPIRATION DATE: 2/25/93 OWNER NAME:BRENEMAN CHARLES L & OWNER ADDRESS:7731 HILL VIEW CIRCLE ANCHORAGE, ALASKA 99515 PARCEL ID:02017248 LEGAL DESCRIPTION: MOUNTAINSIDE VILLAGE #1 BLK 4 LT 9 LOT SIZE: 59503 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIF'IED 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. CHE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. ENGINEER MUST PROVIDE PERCOLATION TESTING AT INTERVALS IN THE TRENCHES AS THEY ARE DUG. NO BACKFILL WILL OCCUR UNTIL ENGINEER HAS REPORTED TO DHHS RESULTS OF THOSE TESTS. 2. TRENCHES MUST BE INSTALLED PARALLEL TO NATURAL CONTOUR LINES OF LOT. RECEIVED BY: G.���� DATE:_ ISSUED BY: z_..� (���.,L DATE:_ KNIEFEL ENGINEERING EER t C 1 I 1 f I 8451 MILES COURT t'JED ANCHORAGE, ALASKA 99504 (907)337 _ 6560 APR 2 Ufunicipraliy of iknchorage April 21, 1992 Dept, Health & Fluman Services Mr. John Smith, Manager LLt�� 7Z0! On -Site Services Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 SUBJECT: Revision to Lot 9, Block 4, Mountain Side Village Dear Mr. Smith: The purpose of this letter is to request permission to move the approved system location to a new site with better soil conditions. During the recent excavation on the approved system design for this lot, we were unable to locate sufficient material in the area previously tested. We moved to another site on the lot and have found the soils better in an area to the south of the original location. Two 10 foot long test holes were dug, the perc. holes soaked and subsequently tested. The soils were sufficient to handle the needs of this new system location and design. Attached are the soils logs and the revised system drawings for the new location. We would appreciate expedited review and approval of this site since the equipment and materials are on site at this time. If you have any additional questions or comments, please don't hesitate to contact us. Respectfully Submitted, Kniefel Engineering Robert Kniefel, P.E. 5- Gu 92-©617 ^ z, AJ192. r�,'��y'y'`eeoo ai oaooGo�'b Ei r \/J L'bL- v RE- v \ 5 c-_-> 5y, ; ,6=-YA SI w tA.s w �a Guh14�.� �A�4w5 557+-c,,+�,5 Wirl�,� ZaA� rr �y5/ZSR x�1. (,.o e7, C)l QLoGy— 4- Nlbutili 5tN(5 V c..ti/NC-� r k �D 1,. t I /sem,/ � 70501 � w 2' yN�Uly, 13+ to/H 211 �ROP►LE ------------------ pLAINJ � i7 —I'� �lf� �jif1-i ar�r,� tt.54iJ (4-1 0 E -D. (A 6: 7b J=iwAk, 6 P 6A S j}6- io, &F- ) 1 , 1�'\��. L, Nt � 5(44u -, b c, )'/,' ' L tJ6, Cj 6T ii L I v—,.JI(,. Cm o A PUMA A --T-' Si��Ue.y j u AIL1/+Ji!}+y f V I Ib 6- � 5'0 4 A,' --- s A4o ,JE ALAILIh , r A I � O !� v� (4-1 0 E -D. (A 6: 7b J=iwAk, 6 P 6A S j}6- io, &F- ) 1 , 1�'\��. L, Nt � 5(44u -, b c, )'/,' ' L tJ6, Cj 6T ii L I v—,.JI(,. Cm o A PUMA A --T-' Si��Ue.y j u AIL1/+Ji!}+y f V I Ib 6- � 5'0 4 A,' --- s A4o ,JE ALAILIh , r `. Au, M Ate% A U45 G 0 N5 C�t&c%19 ra A� � 5 L c l l ow S S t X41, t� �ouL vj MOA R.vALieS! fZe&IALAT\(1Ns A+.1D tit➢�I..tN�s. 7. Th�rc GoN`CC c~oS� �r L,L bt; TZvS� oNstR�� 1�� aR�9t� A% NLG�SS►� '/-��1R��� pcz9'tM%CS A#JO C'��.CGjQ_t[-4t. INS��GjiO , MOA _bb 4�AS 4,144) Mksr $t: NeTtti✓►tr�� Ai i -CAS i FOLAR H-avA s t p M VA,+.u, S CIF-1pN -a p to c nd v T tKI . 3. 4 $Ro©►� sy�Ttµ �T 3�5 ��/rs = 1133© sr � , S 1 w � l � `T�-�: t•a cd� 4` ISE". x G c -Sri WT`a vAc,4+r i Afi o>< Sy sty �. Pti.�an, iv 'IN tTiAL- Ccrr.lS jn.Kclatil +,��4! Y ONd. �Si_R 5y 5 _ .�AtaA-_ lbWepAt,p-�t.L�.rG.. - - - -- -- - !l, �JoT _SLnBWAN- 4\,Ly Af MCT &Aow.,o wA-x--t S uA.t=�l t�. 11 t1A� N iitlo . I►r itihm Alk`A . �0(3 .(AS 7r4t.l "' L Ff&,'�)q I�bCddlL) l LtpC 5rAMuo l)osVB scaAtt. be SeT' 1b 'ltiuv�ov Izs qr t„ l)vStC 'rAf Ft eq sf"%A.0 AT LC -A% (Z-) INs?c�u►.fi T)6*iV. - - - -- -- - !l, �JoT _SLnBWAN- 4\,Ly Af MCT &Aow.,o wA-x--t S uA.t=�l t�. 11 t1A� N iitlo . I►r itihm Alk`A . PERFORMED FOR: LEGAL DESCRIPTIO nuc P� 'i/'" " of (ENGIIJEEF'9 SAI) Jr, giW Municipality of Anchorage `���✓� DEPARTMENT OF HEALTH & HUMAN SERVICES / 825 "L" Street, Anchorage, Alaska 99502-0650 �v, SOILS LOG -PERCOLATION TEST DATE PERFORMED:_ WAS GROUND WATER A 1 D ENCOUNTERED? _ /y S �• L IF YES, AT WHAT 0 DEPTH? P E' Depth to Water Alter ,ZZ,c}z- Monitoring? — 1,14 — Date: e 20Ll PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER '� TEST RUN BETWEEN �J FT ANDFT COMMENTS �oML- lLfl- _ 'TE1I 4-(s- T1v C1=c-L- I C,/,/ty� CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: ¢_� ��� �Z� ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S� 4`-<,,%QSINEER'S SEAL) l S 1 O� tl3 E1p Elva 'U Municipality of Anchorage f ur,' DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 �E SOILS LOO — PERCOLATION TEST =_ L✓te%6 �� 5 ��'—w.5 DA TE�'(04iFORMED: PERFORMED FOR: v LEGAL DESCRIPTION:_— ) �6 T Township, Range, Section: SLOPE SITE PLAN DEPTH (FEET) —F-( f--r--I COMMENTS C9 j-) 1304 L. Date Gross Net Time Time Depth to Water Net Drop ph;.rN iJ 2 {� 3 3 641el S -D 4 5 6 7 8 I� 9 10 PAI 11 U� 12 13 14 15- 16 17 - 18 19 20 COMMENTS C9 j-) 1304 L. WAS GROUND WATER N. ENCOUNTERED? S L IF YES, AT WHAT 0 DEPTH? P E Depth to Water Alter 1� Mnnitorina? VV�– Date: l Date Gross Net Time Time Depth to Water Net Drop iJ � 0 3 S( S -D S"} I� ,■ P PAP ■��r PAI Ili WAS GROUND WATER N. ENCOUNTERED? S L IF YES, AT WHAT 0 DEPTH? P E Depth to Water Alter 1� Mnnitorina? VV�– Date: l Reading Date Gross Net Time Time Depth to Water Net Drop iJ � 0 3 S( S -D S"} Reading Date Gross Net Time Time Depth to Water Net Drop 3 S( S -D S"} PERCOLATION RATE 33 (MIDWIDSilnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT ( L PERFORMED BY: v (�%—i.`ti I —1--117( Z'– - CE=RTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. (DATE: -I) =9'z_ 72-008 (Rev. 4/851 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE on nLn) DEPARTMENT OF HEALTH AND HUMAN SERVICES � Cc U P.O. BOX 196650, 825 "L" STREET, ROOM 502 // 01 ANCHORAGE, ALASKA 99519-6650 `� ( Lt/i I`�-.��i i,kj� ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920017 DATE ISSUED: 2/25/92 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. EXPIRATION DATE: 2/25/93 OWNER NAME:BRENEMAN CHARLES L & OWNER ADDRESS : 7731 HILL VIEW CIRCLEc- ANCHORAGE, ALASKA 99515 0 PARCEL ID:02017248 LEGAL DESCRIPTION: MOUNTAINSIDE VILLAGE #1 BLK 4 LT 9 LOT SIZE: 59503 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / 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) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: DATE Z --G 7-P'?-- ISSUED BY: h a� sJ.0-,� — DATE: 2� T QL�.� COLS • Y /P/e» �� Q�.�� � �c.e✓ �G'"i,c�l,/R._.� ��-°.ray—�-1.t�—'r--z�e�1--- ;6��, o_MN- 0 10 -- r1�0 ---����--- --- ----- ---- - - -- --- - --- ---- -- - - .I Y ot rite �2L'3E --- - --- -- — - - -L=colts—oU�+� l -..-- -._- -.---_-_...___.----..--__------_.---__--1--/—/_—._—_— � �J O° ou ie LO t..oC.K --- --- - -- -- a �- Ue � t ?GHBe4 ♦tl6 0 DATE PREPARED FOR: No.. '41`�<�"t — — — /IZ 7 e 4 eJ� SCALE PREPARED_ BY:---- �- `- � - -- ------Knief®I Engine-srin� li- rap Sail to t1441. Flo CO ! I r+C "1 _ t0 -0v Apt .-400 %4 4eu/E7yj9�-c% 9Ofih eg - <: 0, -li' c� J ti!e v. 4i=— — -- I ' AT 1 l iSoi - - -- / -— — lit Si�w ER -- % R BGLG, L OGV_ hk v---- 00 - -- - ---- o10 Flo CO ! I r+C "1 _ t0 -0v Apt .-400 %4 4eu/E7yj9�-c% 9Ofih eg - <: 0, -li' c� J ti!e v. 4i=— — -- I ' AT 1 l iSoi e °s-- 1-- hk v---- 00 - -- - ---- Flo CO ! I r+C "1 _ t0 -0v Apt .-400 %4 4eu/E7yj9�-c% 9Ofih eg - <: 0, -li' c� J ti!e v. 4i=— — -- I ' AT 1 l iSoi ?� Cr\,t i ta, tN 5 A+j9 Z+-j9p ervaWs MOA R\&L4-g/ CLEY-4.KLAT\o#jS At►D C��n�➢���u�5, Ni.etyssolety Pc:-RAO%rS AND �-��i'�•�c4�. tNS�Lei10►.K. C -N&1 at<e(L Arwo AAOA-b�ANS_(343- 4 44) mt4r- $6 lu6nF►Lw- AT LSAs r FotmL l it%Aws t tir M vA*jc6 c F 3. 4_ weotzoapA )f Sn5tA AT . 33 S .gfit lri6� 4. W6� _�_F���� K�Qo• Zrd (4 by;►jF� �r s.S"� )iN /�-i (i ��� tr�F. YRud lo,'�` �nnl el -..46 - E Ln - - - �(oeOa�Au�vcuU��V p1 .$ T6W A. r cdp-r; (out'S W C -k _ VA(-* AT T%Ao\e olp- - %Ar T 124c'�oh, v�►_11.� 11-& t Cmy A-0. nvT Go rS_ _r-o_A. uj 6.,LS - aIL Sy 5t*6&N-5 Ptitien. b W t riALCOQ11 vLeo ) . TA _Cov i1I4C Mt.- --- - - t N SKID_ Z� u► �t •� l S t rJ S' 1'4�sL� _ AX LAjwrA. S Tr - 10 � I . �t� C �±• , ANY aN-$i h= Sy Pito �/Ll�+1_ �� _ WGA.V TIA`= L4 5 i'h a�-► S t-4�luo -1 MAA A-t1_�)� U �,`+C / 4tc /Ks OA- C-Q%AAIL Rt1— & l 1t)M O(= (..owL )7-1.4J i--� �C9 - — 7 — �, b% S (A4,4" d P%rifft �- s t4AIL,d. t4.jkVa �- j o s a" A r4��nlb �.v 3J` n►Na- moves). CAS tm Fl b. - a8 LpA I440kraad�ILII- - � L 1%C _StA-puo_ I)oSqf _p-v4v. ue Seat roj1A—av tzs aa�.-- - (AS---j>_s-IL _-_EPA _1-IAWAIJOC�-_-Rb.. �-30 - -t g. TAC F1 I&aS%%AwAA-\,j Wt"_. .- IG oc kLaS &%&C- Al- t,5OA'i ice,_ 105adt'6ygS,;_ It °i `-1 ! w (aPr,.. "0.5 T'd Twe 46SteN r A\.Wl- be ,/4�>pMlJir� 11 Me_ LeT--.Suo�)155SOWN �__ ..rPW. _i :_I,Nf1WL1.A�lIkJ-w11,1., Nvt' Sl�llsif'AN_.. igt,�y A1""ftCT (Au%..now4iO4./ S4'1/tiiwAV6 .Iw MIF [j'j1-lri4 �l Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG v PERCOLATION TEST tt�N�tNertS �L eite/ f r ry Frz a� ay tA—e Zk 4. ax � a =4 I/o�1O t6/FJ ppU(j y'V 06bC 4 a60U'�Y/+ ' dig eYS/i ��O JOvV 60 ti inlet a 4/ a No, b14I•C PERFORMED FOR: 'A' &j5 y DATE PERFORMED:. LEGAL DESCRIPTION: 7DEPTH (FEET) 14 3 3g 4 5 6 lT'� 7 s 10 11- 12 13 14 15- 16- 18- 19- 20 51s1s1920 IST. 5 t1 E V vi -LA &,65 SF*Ay WAvA SAw 4 y TIACC— 5i4w©,1(JAAV&�' WAS GROUND WATER f7 ENCOUNTERED? Township, Range, Section: SLOPE BON FEB 2 1 '1992 S IF YES, AT WHAT > L o u DEPTH? p E Depth to Water Alter Monitoring?—My Dale:'2-I —10 Reading Date Gross Net Time Time Depth to Net Water Drop 44 n v o ?:•v 10 ,o 'r0 o .0 PERCOLATION RATE r� (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN= FT AND FT (V1Uli.v j):+ ,.•./ ;,I :-i .Ciic/;HJF+' COMMENTS �� PrV!CE5 PERFORMED BY: KN ( 16-1 f t, I A - KNf er- ► CERTIFY THAT THISTESTWAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 17 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L." Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST C(ESoWE x ��eaocv acco�� aac2s6• �_- �9 Ve-ua bYu/a S6.e�[/e/e/�ea •a �1 r,-:. n t l:abort r. Kniril 4, Ij,', ao i4 G, °,; Ido. 41h9 -t f. Fn ice ob" d=�'.�hV mc3 PERFORMED FOR: G2 '� S t 1.�—�� DATE PERFORMED: ��% LEGAL DESCRIPTION: 1 ` Township, Range, Section: DEPTH Q1µkt c— SLOPE SITE PLAN (FEET) c 1 -rt? Sd1L. 2 y A#, %i L 0A04, 4 5 6 7 8 9 10 �O$, 11 12 13 14- r 15 16 �.0 - 17 18 19 20 COMMENTS SANo y C .- t`w$ l k.-1 WAS GROUND WATER ` NO ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E Depth to Water Alteri��% Monitoring? Date: Oa1e: �6 \A r roCr FED l Reading Date Gross Net Depth to Net Time Time Water Drop y r lLiUr]., I , PERCOLATION RATE DE 'Pt. 1-16)aithf Irrrna; .,., )e 1•kt$3, .,@ETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND FT PERFORMED BY: KPtcfa� I —[L'Ku t ef6' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: - 72 -008 (Rev. 4/85) KNIEFEL ENGINEERING 8451 MILES COURT ANCHORAGE, ALASKA 99504 (907)337-6560 September 29, 1992 Mr. John Smith, PE. Oil -Site Services Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 Subject: Lot 9, Block 4, Mountainside Village \ Dear Mr. Smith: Dept i' ;2-:f? i`:- i :'1-Ja11 JerviCeS Attached is the final as -built information for the above lot. As per the requirement of the permit, we investigated the field soils and pere tested the field and notified your office before proceeding with this installation. The well has also been installed and the water tests show no fecal and..32 nitrate. Copies of the test results are in the mail and wilt be forwarded as soon as received. Based upon this information, I am requesting approval of the as -built at this tune. The house is in the final stages of closing and I would appreciate an expedited review in this matter. Thanks for your consideration. Respectfully Submitted, Robert Kniefel, PE ;i „nchort�� i-'-"rnan Service's INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 3500 EAST TUDOR ROAD INSPECTIONS (907) 563-3464 // INFORMATION (9077))'786-82111 NAME t�'-c=�` C / PERMIT NO. n �41502(( STREET ADDRESS - - - - LOT / BLOCK / SUBDIV.'?kdy� / DATE .!—L FOOTING ❑ ELEC. TEMP. ❑ PLBG. UNDGR. _. ❑ FOUNDATION ❑ ELEC. SERVICE ❑ PLBG. ROUGH ❑ BOND BEAM ❑ ELEC. ROUGH ❑ GAS TEMP. ❑ FRAMING ❑ ELEC. FINAL�'fqS ❑ INSULATION ❑ OTHER E] MECHANICAL ElSHEETROCK ❑ MECH. FINAL ❑ STRUCT. FINAL ❑ FIRE FINAL ❑ PLBG. FINAL ❑ OTHER i ❑ ZONING ❑ OTHER ❑ O NONCOMPLIANCE OBSERVED ❑CORRECTIONS ESSENTIAL AS EXPLAINED BELOW ❑ WILL REEXAMINE AT NEXT INSPECTION ❑ DO NOT CONCEAL UNTIL REINSPECTED COMMENTS � � _o��j11���� WHEN CORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION 84-002 (Rev. 11/87) DO NOT REMOVE THIS NOTICE MUNICIPALITY OF ANCHORAGE�� • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Eox 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # dzo 17�6? .,-- 1. GENERAL INFORMATION HAA # 'A ��'] aL11, LI L; Complete legal description MO A nd j $1 ki rP' i /> �J L L•4 Cr<.= Location (site address or directions) Property owner >/>(– vim+ ��� Day phone Mailing address�aZZ Lending agency Day phone Mailing address— Agent Day phone Address Unless otherwise requested, HAA will held for pickup. 2. NUMBER OF BEDROOMS: 3. 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. 4. 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. 1191) Front MOA 421 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation dates h own 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 f C7=�— � 6-1 M e vL ) N Cr Phone 3 .� G 00 0 Address .� Engineer's signature 6. DHHS SIGNATURE Approved for 4' bedrooms. Disapproved. Conditional approval for Additional Comments By' JQ rr 4 411TIr Date C- Z bedrooms, with the following stipulations: Date cT 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 orderto 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. 1/91) Back MOA 921 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /,'> Parcel LID 0 Zy 17 A. WELL DATA Well type C If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed � �� Driller Total depth �� —Cased to Casing height— Z — Sanitary seal (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG —/ ) — q ?-> SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line Wires properly protected (Y/N) AT INSPECTION C, On adjacent lots G ; On adjacent lots 7 �� Public sewer manhole/cleanout _ Petroleum tank WATER SAMPLE RESULTS: Coliform — 0 Nitrate • Other bacteria — Date of sample: X4 "9 Collected by: I &P&,, B. SEPTIC/HOLDING TANK DATA Date installed 7-10 — 'Z.. Cleanouts (Y/N) Tank size Z TV Foundation cleanout (Y/N) Compartments High water alarm (Y/N) / Alarm tested (Y/N) Date of pumping A eW Pumper Depression (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well (s)onlot 11'1 —Onadjacentlots_ ��0 Foundation-- / o To property line Absorption field—Water main/service line Surface water/drainage 1�j®A 71 72-026 (Rev 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed 7-1A®q-L- Manufacturer 4-C/2 Size in gallons 1l 0 e) Manhole/Access (Y/N) Vent (Y/N) MAll- Ord "Pump on" level at High water alarm level 9 Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: I Well on lot 1 3e) On adjacent lots D. ABSORPTION FIELD DATA Date installed 7-/U -d? ?,- "Pump off" level at Cycles tested ?� 140 / Surface water e� Soil rating - 17;�Y 56f7,44 System type S rIV( 19tm Length �� /� Width Gravel thickness , Total depth Total absorption area Depression over field (Y/N) Results (pass/fail) 64 Cleanouts present (Y/N) Date of adequacy test for ,�,/ M Peroxide treatment (past 12 months) (Y/N) -f` If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ' On adjacent lots �Ud Property line e To building foundation 57T To existing or abandoned system on lot i On adjacent lots 7 2-0f)Cutbank �V / Water main/service line Surface water Curtain drain _,'J 1A E. ENGINEER'S CERTIFICATION P_L4�j bedrooms N 1,4 /4 / Driveway, parking/vehicle storage area 90 OA certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Nameo�J' Date6 f�• s'7� J? HAA Fee $ 70 ` 07) Waiver Fee: $ Date of Payment �`��`%� /Date of Payment Receipt Number Z–(Receipt Number 72-026 (Rev. 3/91) Back MOA 21