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SKYHILLS PH 1 BLK 1 LT 11
Permit Number:OSP261211 Tax Code Number:01112222000 Work Type:Septic Upgrade Effective Date: Design Engineer: Site Legal Address:SKYHILLS PH 1 BLK 1 LT 11 G:2222 Owner:PATTON WILLIAM MERVYN III & Site Mailing Address:6821 SKY CIR, Anchorage Lot Size in Sq Ft:40543 Total Bedrooms:4 This permit is for the construction of: Disposal Field Septic Tank Holding Tank Privy Non-Public Water 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. Coodinate with On-Site staff regarding preferred method. 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 7/13/2026 7/13/2027 PANNONE ENGINEERING SERVICES Expiration Date: þ þ ¨¨¨¨ Issued To: Issued By: Date: Date: 7/13/2026 7/13/2026 PANNONE ENGINEERING SERVICES Isatou B Njie 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 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-790-4 On -Site Water & Wastewater Secti6v,r ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel 1. D. 011-122-22 Property owner(s) William Patton Day phone 907-223-3729 Mailing address 6821 Sky Circle, Anchorage, AK 99502 Site address 6821 Sky Circle, Anchorage, AK 99502 Legal description Sky Hills Phase 1, Block 1, Lot 11 Number of Bedrooms 4 Engineering Firm Pannone Engineering Services, LLC. Building Permit Number Not Applicable 01 APPLICATION IS FOR: APPLICATION IS AN: (Z all that apply) Disposal Field El Initial ❑ Septic Tank R. Upgrade Holding Tank F] Renewal ❑ Privy ❑ Well ❑ Water Storage EJ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: Permit/Rush Fees: Waiver Fees: Date of Payment: Date of Payment: Permit No. Waiver No. May 2025 Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com 9 July, 2026 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: Sky Hills #1, Block 1, Lot 11 6821 Sky Circle Tank and Field Replacement Permit Request This is a design narrative for a permit to install a replacement septic system on the subject property. The installation will serve an existing four (4) bedroom house. This lot and surrounding lots are served by a public water system. Currently there are no wells within 100ft of the proposed installation. The initial system for the subject lot is approximately 28 years old. The tank is nearing the end of its expected lifecycle, and the field is in failure. 1. Soils: Test holes were performed on this lot in August of 1998 by Michael E. Anderson for the design of the initial system. Approximate locations are shown on the attached site plan. The existing soils logs are included in the subject parcel’s onsite records. Groundwater was not observed during the excavation of the existing test holes to a depth of 20.0’ BGS, and bedrock was not encountered. The proposed replacement field is located in the replacement location indicated and approved as a part of the initial system installation. Based on the documented results of the percolation test, overall soils appearance and initial design application rate, an application rate of 0.6 gpd/SF was used for the design of a conventional wastewater treatment system located in the position indicated as “Alternate Site” on the initial plan set. 2. Soil Absorption System Design: See design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. 4. Topography: See attached site plan 5. Drawing Markings: The Drawings are marked “For MOA Review Only”. When written notification that the review is complete and no further comments are received from MoA On-Site Department, the note will be removed and “For Construction” drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions, please contact me at (907) 745-8200. Sincerely, Steven R. Pannone, P.E. F. ASCE Owner | Principal Engineer 9 July 2026 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261211, Isatou Njie, 07/13/26 2 0 0 2 0 5 19 6 4BR SFR (E) (P) DV (P) INTERCEPT EXISTING DRAIN LINE 10' UTIL ESMNT LOT 11 (E) 1250G STEEL SEPTIC TANK TO BE DECOMMISSIONED PER MOA CODE TIE DV TO (E) FIELD. DECOMMISSION (E) DCO AND UPSTREAM PIPING (E) DISPOSAL FIELD, TO REMAIN AS RESERVE (P) 1250G MOA APPROVED SEPTIC TANK W/ DCO & DV AFTER TANK TH-93 8/21/98 ANDERSON TH-103, 8/20/98 ANDERSON (P) 65'LF X 3.0'W X 8.0'ED X 13.5'TD DISPOSAL FIELD W/ CO AND MT IN EACH END 18.9' 10.0' MIN. 24.9' 46.6' 11.6' 10.0' MIN. 18.3' 16' MIN. 14.8' 10.0' MIN. LOT SERVED BY PUBLIC WATER LOT SERVED BY PUBLIC WATER L O T S E R V E D B Y P U B L I C W A T E R (E) FCO SERVED BY PUBLIC WATER P. O . B O X 1 8 0 7 P A L M E R , A K 9 9 6 4 5 PA N N O N E E N G I N E E R I N G S E R V I C E S , L L C ( C . I . 1 0 8 8 ) PH O N E ( 9 0 7 ) 7 4 5 - 8 2 0 0 F A X ( 9 0 7 ) 7 4 5 - 8 2 0 1 DA T E SC A L E SH E E T P. I . D . N O PE R M I T N O . DR A W N RE V I S I O N S CH E C K E D MT O FO R C O N S T R U C T I O N SK Y H I L L S P H A S E 1 , B L O C K 1 , L O T 1 1 WI L L I A M P A T T O N 68 2 1 S K Y C I R L E AN C H O R A G E , A K 9 9 5 0 2 07 / 0 2 / 2 0 2 6 01 1 - 1 2 2 - 2 2 OS P X X X X X X AC P 07 / 0 2 / 2 0 2 6 ST E V E N R . P A N N O N E CE - 8 1 4 9 R E G ISTEREDPROFE SSIONA L ENGINEER SI T E P L A N 1 " = 4 0 ' 1 O F 3 NEW SEPTIC DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 4(600 gpd) TANK SIZE: 1250gal PERC RATE: 20 MPI SOIL RATING: 0.6 GPD/SF AREA RQD: 1000 SF SYS. TYPE: DEEP TRENCH 8.0'ED MIN LENGTH: 62.5 LF USE: 65LFx2.5'Wx8.0' E.D., 13.5' TD TOTAL AREA: 1040 SF ESMT/SETBACK THE CONTRACTOR, AND OR THE PROPERTY OWNER RESPONSIBLE FOR THE INSTALLATION OF THE PROPOSED WASTEWATER TREATMENT SYSTEM SHALL NOTIFY PES A MINIMUM OF 24-HOURS IN ADVANCE MONDAY THROUGH FRIDAY OF THE REQUIRED PRE-CONSTRUCTION INSPECTION. AT THIS TIME A REPRESENTATIVE OF PES AND THE CONTRACTOR OR PROPERTY OWNER WILL 1. DISCUSS CONSTRUCTION PROCEDURES AND DESIGN REQUIREMENTS. 2. VERIFY SITE CONDITIONS CONFORM TO THE DESIGN PLANS AND PERMIT. 3. VERIFY THE PROJECT LAYOUT CONFORMS TO THE DESIGN PLANS AND PERMIT. (Ref: AMC 15.65) PLEASE REFER TO THE NOTES AND SPECIAL PROVISIONS PAGE FOR MORE INSPECTION INFORMATION. PES SHALL NOT BE HELD LIABLE FOR INSTALLATIONS NOT MEETING THE REQUIREMENTS OF 18 AAC 72 AND/OR AMC 15.65 AND THE SPECIAL PROVISIONS OF THIS PERMIT AS APPLICABLE IF THE CONTRACTOR AND OR PROPERTY OWNER FAIL TO GIVE PES PROPER NOTICE. PES WILL ATTEMPT TO DOCUMENT THE SYSTEM AND OBTAIN ANY NECESSARY WAIVERS AT THE CONTRACTOR AND OR PROPERTY OWNERS EXPENSE. PES MAKES NO GUARANTEES THAT ANY NEEDED SEPARATION DISTANCES WAIVERS WILL BE APPROVED BY ADEC OR THE MUNICIPALITY OF ANCHORAGE ONSITE DEPARTMENT STAFF. ABBREVIATIONS CO CLEAN OUT NO. DCO DOUBLE CLEANOUT DV DIVERTER VALVE (E) EXISTING ESMNT EASEMENT FCO FOUNDATION CLEANOUT FS FLOW SPLITTER MT MONITOR TUBE NO. MH MANHOLE NO. (N) NEW (P) PROPOSED R.I. RIGID INSULATION TH TEST HOLE TYP TYPICAL Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261211, Isatou Njie, 07/13/26 1250 GAL 10' BURY SEPTIC TANK FC DCO 4"Ø DRAIN PIPE DRAIN ROCK 6" ABOVE PIPE INV FILTER FABRIC CO MT 8.0' DRAIN ROCK PROFILE SCALE: NTS CO OG/FG MT 12 8 11 10 9 SW 6 7 5 3 4 2 TEST HOLE 103 OR 1 13 14 15 16 17 18 19 20 SM DIVERTER VALVE TO E X I S T . F I E L D 4.0' MIN. 5.5' P. O . B O X 1 8 0 7 P A L M E R , A K 9 9 6 4 5 PA N N O N E E N G I N E E R I N G S E R V I C E S , L L C ( C . I . 1 0 8 8 ) PH O N E ( 9 0 7 ) 7 4 5 - 8 2 0 0 F A X ( 9 0 7 ) 7 4 5 - 8 2 0 1 DA T E SC A L E SH E E T P. I . D . N O PE R M I T N O . DR A W N RE V I S I O N S CH E C K E D MT O FO R C O N S T R U C T I O N SK Y H I L L S P H A S E 1 , B L O C K 1 , L O T 1 1 WI L L I A M P A T T O N 68 2 1 S K Y C I R L E AN C H O R A G E , A K 9 9 5 0 2 07 / 0 2 / 2 0 2 6 01 1 - 1 2 2 - 2 2 OS P X X X X X X AC P 07 / 0 2 / 2 0 2 6 ST E V E N R . P A N N O N E CE - 8 1 4 9 R E G ISTEREDPROFE SSIONA L ENGINEER PR O F I L E 1 " = 2 0 ' 2 O F 3 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261211, Isatou Njie, 07/13/26 P. O . B O X 1 8 0 7 P A L M E R , A K 9 9 6 4 5 PA N N O N E E N G I N E E R I N G S E R V I C E S , L L C ( C . I . 1 0 8 8 ) PH O N E ( 9 0 7 ) 7 4 5 - 8 2 0 0 F A X ( 9 0 7 ) 7 4 5 - 8 2 0 1 DA T E SC A L E SH E E T P. I . D . N O PE R M I T N O . DR A W N RE V I S I O N S CH E C K E D MT O FO R C O N S T R U C T I O N SK Y H I L L S P H A S E 1 , B L O C K 1 , L O T 1 1 WI L L I A M P A T T O N 68 2 1 S K Y C I R L E AN C H O R A G E , A K 9 9 5 0 2 07 / 0 2 / 2 0 2 6 01 1 - 1 2 2 - 2 2 OS P X X X X X X AC P 07 / 0 2 / 2 0 2 6 ST E V E N R . P A N N O N E CE - 8 1 4 9 R E G ISTEREDPROFE SSIONA L ENGINEER NO T E S NO S C A L E 3 O F 3 1. GENERAL NOTES: 1.1. ANY MODIFICATIONS TO THE ATTACHED PLANS NEED TO BE APPROVED BY PES AND THE OWNER OF THE PROPERTY. 1.2. PES SHALL BE NOTIFIED A MINIMUM OF 48 HOURS IN ADVANCE BEFORE CONSTRUCTION OF THE PROPOSED WASTEWATER TREATMENT SYSTEM. 1.3. PES SHALL BE NOTIFIED A MINIMUM OF 24 HOURS IN ADVANCE TO PERFORM A MINIMUM OF FOLLOWING INSPECTIONS: 1.3.1. A PRE CONSTRUCTION MEETING IS REQUIRED BY STATE AND MUNICIPAL REGULATIONS BEFORE A ONSITE WASTEWATER TREATMENT SYSTEM MAY BE INSTALLED. 1.3.2. TOP OF SEPTIC AND OR HOLDING TANK (TANK IS SET IN PLACE LEVEL WITH ALL PIPING ATTACHED (CLEANOUTS, MANHOLES, INLET AND OUTLET PIPING). 1.3.3. BOTTOM OF EXCAVATION OF THE DRAIN FIELD/S. 1.3.4. AFTER PLACEMENT OF FILTER SAND (IF NEEDED). 1.3.5. AFTER INSTALLATION OF THE DRAIN ROCK WITH ALL ASSOCIATED PIPING IN PLACE INCLUDING DISTRIBUTION LINES CLEANOUTS AND MONITOR TUBES PRIOR TO INSTALLATION OF FILTER FABRIC AND INSULATION (IF NEEDED). 1.3.6. FINAL GRADE INSPECTION. ENTIRE SYSTEM IS INSTALLED AND BACKFILLED. 1.4. THE ENGINEER (PES) HAS NO CONTRACTUAL RELATIONSHIP WITH THE CONTRACTOR (THE INSTALLER OF THE SYSTEM) AND, THEREFORE, HAS NO AUTHORITY, CONTROL OR RESPONSIBILITY FOR THE CONTRACTOR'S EMPLOYEES, THE QUALITY OF WORK, THEIR COMPLIANCE WITH THE DESIGN DRAWINGS/SPECIFICATIONS OR THEIR MEANS/METHODS OF CONSTRUCTION. AT APPROPRIATE INTERVALS, THE ENGINEER WILL VISIT THE WORKSITE TO OBSERVE THE QUALITY OF THE CONSTRUCTION AND TO DETERMINE IN GENERAL IF THE CONSTRUCTION IS PROCEEDING IN ACCORDANCE WITH THE DESIGN DRAWINGS/SPECIFICATIONS.THE ENGINEER WILL NOTIFY THE OWNER IF DEFICIENCIES ARE OBSERVED; HOWEVER, THE FAILURE OF THE ENGINEER TO OBSERVE A DEFICIENCY WILL NOT RELIEVE THE CONTRACTOR OF THE RESPONSIBILITY FOR CORRECTING ANY SUCH DEFICIENCY. THE ENGINEER WILL PREPARE RECORD DRAWINGS AND SUBMIT THEM TO THE REGULATORY AGENCY HAVING JURISDICTION OVER THE WASTEWATER TREATMENT SYSTEM (ADEC OR MOA). FINAL APPROVAL OF THE WORK AND CORRECTION OF ANY DEFICIENCIES IS BETWEEN THE OWNER, THE CONTRACTOR, AND THE REGULATORY AGENCY HAVING JURISDICTION OVER THE WASTEWATER TREATMENT SYSTEM (ADEC OR MOA). 2. SCOPE AND SPECIFICATIONS: 2.1. ALL CONSTRUCTION SHALL BE AS SPECIFIED IN THE ATTACHED PLANS. CONSTRUCTION ACTIVITIES SHALL ALSO BE IN ACCORDANCE WITH THE MOST CURRENT EDITION OF THE FOLLOWING CODES AND POLICIES AS APPLICABLE. 2.1.1. 18 AAC 72 2.1.2. AMC 15.65 2.1.3. AMC 15.55 2.1.4. MOA STANDARD SPECIFICATION FOR COMPONENTS PARTS AND MATERIALS. 2.1.5. ADEC ONSITE WASTEWATER SYSTEMS INSTALLATION MANUAL (OWSIM). 2.1.6. MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS). 2.2. SCOPE OF WORK: INSTALL SYSTEM IN ACCORDANCE WITH THE ATTACHED DESIGN AND SPECIFICATIONS. 2.3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 20 FEET BELOW EXISTING GRADE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 20 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 2.4. STRUCTURES DEPICTED ON THE SITE PLAN ARE BASED UPON ONE OF THE FOLLOWING: CONCEPTUAL PLOT PLAN DEVELOPED BY OWNER; A PLOT PLAN DEVELOPED BY RLS; OR A SURVEY AS-BUILT. 3. CONSTRUCTION SPECIFICATIONS: 3.1. ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE DESIGN 3.2. EXCAVATE THE DRAIN FIELD. BOTTOM OF EXCAVATION SHALL BE LEVEL AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE AND END OF TRENCH BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH NON-COMPACTED MATERIAL. 3.3. PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO ±1" PRIOR TO INSTALLING THE PERFORATED PIPE. 3.4. ALL PIPE SHALL BE SCHEDULE 40 ABS AND OR PVC CONFORMING TO ASTM F628 AND ASTM D3034 AS APPLICABLE OR ENGINEER APPROVED EQUAL. 3.4.1. ALL PRESSURIZED SEWER LINES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC CONFORMING TO ASTM D1785 OR ENGINEER APPROVED EQUAL 3.5. FOR MOA PROJECTS THE MINIMUM SOIL COVER SHALL BE 3 FEET OVER SEWER LINES AND DRAIN FIELDS AND 4 FEET OVER THE SEPTIC TANK. ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR 1 FOOT OF SOIL COVER. 3.6. FOR STATE OF ALASKA (ADEC) PROJECTS THE REQUIRED SOIL COVER IF 4 FEET FOR ALL WASTEWATER SYSTEM COMPONENTS. 3.7. THE MINIMUM ALLOWABLE SOIL COVER SHALL OVER ANY WASTEWATER SYSTEM COMPONENT SHALL BE 2 FEET WITH 2 INCHES OF APPROVED INSULATION. 3.8. ALL INSULATION SHALL BE 2" THICK DOW HI-40 INSULBOARD OR ENGINEER APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER SEPTIC TANK, DRAIN FIELD, OR SEWER LINES. 3.9. GEOTECHNICAL FABRIC SHALL BE TYPAR 3401 OR ENGINEER APPROVED EQUAL. LAP ALL JOINTS 2 FEET MINIMUM. GEOTECHNICAL FABRIC SHALL CONFORM TO AASHTO M288 CLASS 3 AND HAVE THE FOLLOWING CHARACTERISTICS: 3.9.1. MINIMUM PERMITTIVITY (ASTM D4491) -0.5/sec 3.9.2. MAXIMUM APPARENT OPENING SIZE (ASTM D4751) - 0.20 TO 0.21mm (US SIEVE #70) 3.10. COVER THE DISTRIBUTION PIPE WITH A MINIMUM OF 2" OF SEWER ROCK AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILL. 3.11. MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS. 3.12. SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MINIMUM SLOPE AND 3:1 MAXIMUM SLOPE AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MOA CODE. 3.13. RECORD THE FINISH GROUND ELEVATION OVER THE BEGINNING, MIDDLE AND END OF SYSTEM. 3.14. MAINTAIN 5' SEPARATION BETWEEN PERCOLATION HOLE AND THE DRAIN FIELD TRENCH. 3.15. EXPOSE, PUMP AND FILL LOG DISPOSAL CRIB OR CONCRETE TANK WITH SOIL TO ABANDON IAW WITH MOA CODE IF NEEDED. NOTES & SPECIAL PROVISIONS: 4. CONTRACTOR RESPONSIBILITIES: 4.1. THE CONTRACTOR SHALL FAMILIARIZE THEMSELVES WITH THE SITE CONDITIONS AND LOCATIONS OF ALL LOT LINES, EASEMENTS, WELLS (E & P), SEPTIC SYSTEMS (E & P) AND SHALL MEET MINIMUM SEPARATION DISTANCES OR AS NOTED. 4.2. 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. 4.3. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 4.4. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 4.5. 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. 4.6. 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. 4.7. 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. 4.8. 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. 5. THE CONTRACTOR SHALL CERTIFY THAT ALL WORK WILL BE PERFORMED IN ACCORDANCE WITH THE APPROVED PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS-BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. BY ACCEPTANCE AND CONSTRUCTION OF THE ATTACHED PLANS THE OWNER, CONTRACTOR AND APPLICABLE REGULATORY AGENCY AGREE TO THE PROVISIONS SET FORTH ON THIS PAGE AS APPLICABLE AND ANY SUBSEQUENT SPECIFICATIONS (IF ATTACHED). Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261211, Isatou Njie, 07/13/26 Municipality of Anchorage Page 1 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW980435 Pie Number: 011-~2! 05- ~,~¢~,-~. Nares: Wastewater System: ~ New f'-] Upgrade The Petersen Group Address: 3820 Lake et±s, Su±te 204 ABSORPTION FIELD Phone: 5 62-1170 t NO. of Bedrooms: i~ Deep Trench [] Shallow Trench [] Bed [] Mound [] Other I Four LEGAL DESCRiPTiON ¢,v,¢\~4: soil Rating:. 6 GPO/Se. FtTotal Depth from original grade:l 3. 5 ' Lot: Block: Subdivision: Depth to pips bottom Item original grade: G ravel depth beneath pipe 11 1 Sky Hills 5,5 Ft. 8 Ft. Township: Range: Section: Fill added above original grade: Gravel length: · 5 Ft. 6 ~ · 9 Vt. WELL: [] New [] Upgrade Gravel width: Number of lines: 0istancebe~een lines: 3 Ft. 1 - Classilicallon (Private. A,B.C): Total Depth: Cased To: Total absorption area: Pipe material: City Water SYstem F~. Ft. 1 ,097.6 SO. Ft. ASTH D3034 PV¢. _ [Driller: Date Drilled: Stalic Water Level: Installer: Oate installed: Ft. Kip~aid ~nd ~nn 12/23/98 Yield:Pump Setat:Casing Heig~, A~ove Grou,~: TAN K GPM F. Ft. SEPARATION DISTANCES t~Septic [] Holding [] S.T.E.P. TO SeOIiC : Absorption LIlt Holding Public/PrivateManufacturer: Capacity in gallons: From Tank Field Stat,on Tank SewerLine$ Anchoraqe T~nk 1, 25o Material: Number of Compartments: Well > 200 > 200 ' N/A N/A N/A Steel TW~ Su,aoe >100 >100' N/A N/A N/A LIFT STATION - N/A Water Lot > 5 ' > 10 ' N/A N/A N/A Size in gallons: Manulacturer: Line Foundation >5 ~ > 10 ' N/A N/A N/A "Pump on" level at: "Pump off" level at: I High water alarm at: Curtain Pump Make & Modsl Electrical inspections performed by: Drain None on Lot' Remarks: BENCH MARK Location and Description: Door Sill Lower Level North Side Assumed Elevation: 199,0 Ft E N GI.N E !$.]~'.'S, ,S, EAL Inspections performed by: A. Harala 0ates: 1st 12/23/98 .... 2nd ~ 2/23/98 ¢}.~of~C. tl~J~LE./%g~,0' Department of Health and Human Services approval /¢~ Reviewed and approved by: .~J~//¢/,///Y~? Bate:'5~''2'¢~'' ¢/? 72-013iRe¥ 9/91) MOA 25 ,0~ = ,,L .l'llns-s¥ NY-Id §'OOl l'90l 6';~6 6'£~ ~'Z£ ~'9£ 9'£;~ lX £D IS ~Orq © 90-LZL-I-LO 'ON (:lid ~gt~O96/~AS .mqtunN ~,!W~d Municipality of Anchorage Page 3 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, AK 99519-6650 343-4744 On-Site Wastewater Disposal System or Well Inspection Report Permit Number SW980435 PID No. 011-121-06 5 99.5' 95.3' /1,250 Gal Sep. Tank 24.5' 97.5' Geotextile Fabric Drainfield Rock 91 .95'~ 68.9' PROFILE AS-BU HORIZONTAL SCALE 1" = 10' NO VERTICAL SCALE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744 HAND WRITTEN PERMIT Permit Number: SW~O~55 Permit Type: Date Issued:~~ ~,~9~7S Expiration Date: ~W. Design Engineer: ~~ Owner Name: ~ ~~ ~1c~? Day Phone: Owner Address: ~ ~ Ot{5~~ Lot Legal: Subdivision:~o~~c~ Lot: %~ Block: Section: Township: Range: Lot Size:qo~q5 (sq.ft. or acres) Max Bedrooms: This Permik: ~ Total Capacity.: ~ SEPTIC TANK: Minimum septic tank capacity:l%~O gallons. Each septic tank must have st least 2 compartments, insulation is required if depth to top of septic tank(s) is less than 4.0' Lift stations require an appropriate electrical inspection. WELL LOG: A copy of the well log must be sent %o DHHS within 30 days of the well's completion. I CERTIFY THAT: 1. I will install the on-site sewer system and/or well in accordance with all codes and regulations of the Municipality of Anchorage (MOA) and State of Alaska , and in compliance with the design criteria of this permit. 2. I will adhere to all MOA and State of Alaska requirements for separation distances from any existing well, septic system~ or surface water on this or any adjacent or nearby lot. 3. I understand that this permit is valid for a single family dwelling with a maximum of bedrooms. I also understand that any enlargement will require an additional permit. 4. I understand this permit is issued for 365 days and expires one year from the date of issue. 5. I will notify DHHS prior to all inspections by the engineer or well driller. (owner/designee) ISSUED BY: DATE: DATE: db/ll5 October 29, 1998 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 11, Block 1, Sky Hills Subdivision Septic System Design Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 11, Block 1, Sky Hills Subdivision intends to construct a four bedroom home on the lot. We are therefore requesting a permit to construct aseptic system on the lot to serve the house. The subdivision is served by the Municipal water system so a well permit is unnecessary. The attached site plan and backup documentation describe the proposed system and show the location of the new system. The testholes placed on the property revealed sands ranging from well to poorly graded. Some silt pockets were found in the sand. Percolation rates ranged from 6 to 20 minutes per inch. The system is designed for the slower rate. Groundwater was not encountered during the excavation nor was any noted during the monitoring period. We have therefore designed a 3' wide deep absorption trench with 8' of gravel beneath the distribution piping. The trench will be 63' long with a total depth from original grade of 13'. The ground surface of the lot slopes to the northeast at rates between 2% and 10%. The absorption trench will be placed across the slope near the northeast corner of the lot to provide sufficient fall from the house for gravity flow. No other lots surrounding this lot are currently being developed. No conflicts currently exist with other systems in the area. Lot 11, Block 1, Sky Hills October 29, 1998 Page Two If the system is constructed as designed the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The subdivision is served by the Municipal water system. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments SkyHills Subdivision THIS PROJECT' ~1-103 11 lO Vacant 9 Vacant Vacan~ 8 Vacant 7 UNSUBOME~D (D ", \ / f/ I i TH-91 , 1H-10~ 1H-?0 8 TH-a7 ~ 4 fH-§3 2 TH~7§ .' I I ~ I 4r I I I I I L ........... L IH~Z 1 3 '~1-44 1~-94 "iTl- g0 1,3 1H-10 10 14 AREA SCALE 1" = 200' Q ~0 LOT 11, BLOCK 1, SKYHILLS DESIGN FACTORS: Four Bedroom Home Perc. Rate: 20 MinJInch Application Rate: .6 GPD/SF SYSTEM REQUIREMENTS: Deep Trench System 1,250 Gallon Septic Tank 8' Drainfield Rock 4 Bedrooms X 150 GPD / .6 GPD/SF = 1,000 SF of Absorption Area 1,000 SF/16 SF/ LF of Trench = 62.5 LF Trench Length Therefore: Construct a Deep Absorption Trench System With One Laterals 63' in Length with 8' of Drainfield Rock Beneath the Lateral. Distribution Pipe in Trench Placed at 5' Below the Original Ground Surface. Natural 5' Backfill Geotextile 6" Fabric NOTE: 4" Perforated PVC (Slots Down) ield Rock TYPICAL DEEP TRENCH SECTION (NO SCALE) Grade Area Over Trench to Drain Away. Minimum 3' of Cover over Septic System, Maintain 10' Separation From Lot Line, PERFORMED FOP,: L--GAL DESCRIPTION: 1 2 3 4 ? 9 10 14 15 17 18 COMMENTS Nlunicipality of Anchorag~ DEPARTMENT OF H-.E~LTH & HUIvtAN SERVICF_$ 825 'L" Street, Anchorage. Alaska SOILS LOG -- PERCOLA~ON 'CE-ST L H Construction Lot 11, Block 1, OL SM SW Sky Hills Subdivision SIT.= PLAN Ill I I I TH #103 Perc. Cavity WA~GROUND W&3'E~ ENCOUNTERED? IF Y~_.., AT WHAT DEFTH? Raading ~e /Z ~ I0 N~ I I I PERCOLATION RAT:. ~ ~) --- ImmL.'t~inc:tl) P-~'~C HOLE DIAM~T~-,R __ _ FT AND FT presoaked prior to testing. i ?.ichael E. Anderson .'~ t IN PERFORMED FOR: Municipality of Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST L H Construction LEGAL DESCRIPTION: LT~IIBLK I1 Sk~ Hills Subdivision DAtE PERFORM~~~ SLOPE SiTE PLAN 7 8 9 10 11 12 13 14 15 COMMENTS Perc cavity was WAS GROUND WATER ENCOUNTERED? S IF YES. AT WHAT ,.-~ / ~) DEPTH? .- p Oepth to Water Altero M0niloring? 'w"~' Dale: ~ "~'1'~ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/tach) PERC HOLE DIAMETER .. TEST RUN BETWEEN ~ ~ FT AND ,"' ~ FT presoaked · ' E Anderson ACCOROANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TH S DATE OATE ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 11, BLOCK 1, SKY HILLS SUBDIVISION GENERAL: 1. The scope of this project includes the procurement and placement of a 1,250 gallon septic tank. It also includes the construction of a new 63' long X 3' wide X 8' effective depth absorption trench at the location shown on the site plan. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK INSTALLATION A new 1,250 gallon septic tank must be procured from an approved source and installed at the location shown on the Site Plan. Lot 11, Block 1, Sky Hills October 29, 1998 Page Two 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop alevel bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. Lot 11, Block 1, Sky Hills October 29, 1998 Page Three 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted watertight couplings (Caulder, Fernco, or equal). with Lot 11, Block 1, Sky Hills October 29, 1998 Page Four 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as-built of the completed system. 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 0 1 1 --1-2-1---O6 / ~,'~- 1. GENERAL INFORMATION Complete legal description BI or.k_ 1: Sky H~_lls \' ~,%--, '~- Location (site address or directions) Property owner_ The Pete~7..~en Group Mailing address 3g:~n T,a~'e Q.~iR Lending agency Mailing address Day phone 562-1170 29_4 Anchorage, AK 99508 Day phone Agent Ad dress Day phone ., Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: Four (4) TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: ..XXX 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. XXX 72-025 (Rev, 1/91) Front MOA #21 5. STATENIENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, t 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 Anderson Enqineerin_q __ Phone_522-7773 Address PLO, Box 240773 Anchorage~ AK 99524 Engineer's signature ~¢-~'t, (~J~'U~.¢~ Date 5/24/99 6. DHHS SIGNATURE --Z-'"" Approved for /c- 0 CJ/~ bedrooms. Disapproved. Conditional approval for 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. Th~ 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 (Re¥.1/91) Back MOA#21 Municipality of Anchorage 13 r ~' r- DEPARTMENT OF HEALTH & HUMAN SERVICL:t~ E L. ,E ! V ~ D Environmental Services Division 825 L Street, Room 502. Anchorage, Alaska 99501° (907) ~.~3Y-4~7~41999 · Municff)ahty u'l Anchorage Health Authority Approval Checklisr~ept. Health & Human Services LegaIDescription: not 11; Block 1.. Sky H~'II.~ Parcell.D.: 011-121-06 A. WELLDATA- Municipal Water System Well type Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION g.p.m, Nitrate Collected by: Other bacteria g.p.m. Date installed 1 2 / 2 3 / (~ R Tank size 1 , 2 5 0 Number of Compartments. 2 Cleanouts (Y/N) ~.._.%___ Foundation cleanout (Y/N) Date of Pumping New C. ABSORPTION FIELD DATA Date installed 1 2 / 2 3 / 9 8 Length 6 8,9 ' Width Effective absorption area 1 ~ 0 9 7.6 Date of adequacy test New Const, Fluid depth in absorption field before test (in.); Fluid depth. (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* Y Depression (Y/N) N Pumper Construction Soil rating (g.p.d./fF or fF/bdrm) i , 6 Gravel thickness below pipe Monitoring Tube present (Y/N) ¥ Results (Pass/Fail) 2as s Immediately after High water alarm (Y/N) N Depression over field (Y/N) _ For Four gal. water added (in.): Absorption rate = .g.p.d. If yes, give date. System type ~P.~.~z;~z[ch Total depth... I '~ _ ~; ' bedrooms LIFT STATION - None Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons on Lot "Pump on" level at* *Datum "Pump off" level at* Cycles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line >200' Municipal Water On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station System SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation > 5 ' Property line > $ ' Absorption field > 5 ' Water main/service line > 2 5 ' Surface water/drainage > 1 0 0 ' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line > 1 0 ' Surface water > 1 0 0 ' Curtain drain None on Lot F. ENGINEER'S CERTIFICATION Building foundation > 1 0 ' Water main/service line > g ,5 ' Driveway, parking/vehicle storage area > 2 5 ' Wells on adjacent lots > 2 0 0 ' I certify that I have determined thru field inspections and in conformance with MOA HAA guidelines in effect on this date. Signature ~ ~ Engineer's Name Mi .m. ha~] M _ And~r.~nn: P _ E. Date 5/24/99 HAA Fee $ ~'~'~, Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number