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Home My WebLink AboutSLEEPY HOLLOW #1 BLK 2 LT 9Sleepy Hollow #1 Block 2 Lot 9 #051-501-08 ;M, •.q G A! Int r![l� � �d��,,� '�� '11 1 �fl t �r ' h'rr1-!�', - y' r C i t 1 vr� OIL WOO, AMY A� .tet, �� F• ! \\ � v�,r:� - ;�+'y? . 1 � \ �• �a - 1�...� _ '+,ate ' 1.•�,4�`k •. 'L�,q'�a��'i' 14' MAX 11, ys'.1� r"e�� ` IN , I '?�• �' _ � "�h*t sa "' •y9 ✓4T'�11I �, � j��], �`,:.L�•,�.� �!. r f� ', ,,, � �y� !. •,,� .�. ,�.( «,'Qi�j , =ilj�, 1,'i. f� j --_ ., Rt.�,ll' , �.y. � IIP.'. isA., ,�. -�` ,�(��} •� i ��•:%: I ` '� � � ( 1 ~e �' a:' ti� � t i P 1 � u .r, �, i•a � F?:�� > >. �: l J.. i t. O i. 1 .'fig ��f 1; It 1XI.4 Slow j ! ... - v ` ►�, �j �}�e qua i� ,aie N, TIP -+i`L+e�i 1g 1 Tia'_ - - �.•- '`� -�, - . �C I� . • J11. / y � 1 Qom• � M1 � .�= rc (_ � � y `. ^ .�� <_►` � __ - -- �P,( � � � J•.. '! � iii 'rs -• > �1••'a .. �. �•, N` 13 10 ' 2:34PU;Ti;) SHr u07'?430742 P.1 -- bevelop ent Services bepartment / Building 5dety Division 0 On --.bite Waxer a W'astel�roter Programn 1�°� < 700 Elmore Recd P.O. Box 196650 h'�irk i3� 'ct' Anchorcge, A< 99507 r- e r i7Y'Ut' o�vl:y.r i�ni.urrglgrsite ,^Qn 343-790a Pump Installation Loi; W1,11 Drilling Perildt Number: SW__ _ Date of Issue: Parcel Identification ti ynber:051"50� - 0� Legal 1:escrSpfion"..__.�,_.�.'..,..�..._.."`.�.' 7 Property i7wnr'r la.snecldr£ss: SI eep� 146//6 2 L? giVal- unt;s 1nstaHa ion Date: PUMP intake Depth i3eloss Top of ' vcq Casij leaf Dump !N1:1PUf1t_t11rer"S _N:ajr,*- T L /L, PUMP I'milp Size `r/fr¢ahp Pitiess Mal ter 9Rartai Depth. t 15 feet Pstlets Adapter !4Ianufactl.trez's `dame: Ntless ikdapler bistallcw: Well Dismfected Upon. Cornpletinn , _'es j No Method vf�7igihlf£�tsoE�: t'SSlT3YT78TtS; r 411Ze 7, Pump Cnstatler `42aue: lop N i Attention; -"lie pur71, ir.staKer sh_,aii insca l tion lug to the DSL iTh'n'0 day's of pump installaticn. May 17 11 01:26p Sullivan Water Wells 907 688 2759 125 Permit Number: #SW Date of Issue Date Star[ed: ~9/2010 Date Completed: ~/t012010 Property Dasc~ption SLEEPY HOLLOW Lot g Block 2 Property Owner Name & Address: Borehote Data: Soil T)spe, Thickness & Water Strata From To Casing SOckup 0 2 Sand & Gravel W[Cobbles 2 11 Clay* & Silt Defoe 11 53 Black Bedrock 53 75 Dark Gray Bedrock 75 129 Yellow Bedrock 129 138 Dark Gray Bedrock t3S 17T Gm~ & White Bedrock 177' 183 Dark Gray Bedrock t83 194 Gray gWidte Bedrock 194 295 Bark Gra~ Bedrock 295 31)0 Water Sample Results: Arsenic: ugd Nitrates mga Total Coliform Bae~orla . coloniasllOOmL Other bacteria: col/100mL Well Log Parcel Identification Number: Is well located at approveA permit location? Section: Town: Range: MIKE WA'ITO 5714 AVE. T '1/'2 GALVESTON, TX T'/551 Depth Method of Drilling ~ airrotary ~] cable tool Casing type: Wall thickness 0.2S inche~ Diameter 6 inches Tomt: 64 feet Liner type.~ Diameter 4~n inches Depth: ~40 feet Casing stick-ap above gronnd: 2 feet Static Water Level(from top of casing) P~mpieg Level: feet alter I he,.w~ pumping gpm Re~overy Rate 15 gpm Method of Testing: Air feet Well Intake Opening Type ~ perforations S~ f~t S~d feet G~ut ~pe: ~pn~m d~ gmmul~r Vol~e: 150 Pounds Dcp~ ... ~ ...... S~ _ a f~t ~op~d Pump In. kc Depth: feet P~p si~: ..... ~ ~d nme Well dbinf~t~ u~n Comp~t~? ~] Y~ ~..1 ~o Me~ of d~inf~fion CHLORINE 50 PPM Comm~: Well DriUer: :Cole Sullivan Sullivan Water Wells P.O. Box 670272 Chuglak, AK 99567 (9,07) 688-2759 Attention: The property owner shall pr0vide this log to DSD (onsit¢) and DNR within 30 days °fc°mpl¢fi°n' ARCTIC PUMP & ~EL~ INC, Jim Sullivan (907) 688-2510 (9O7) 25~2510 (~ 745-25~o apw~g6.n~ Pump Installation Log Well Drilling Permit Number: Parcel Identification Number: osp101024 Date Of Issue: 5/14/2010 05150108000 Legal Description SleepyHollow#1 B2 L9 PropertyOwner Name Address: Mike Watto Lot: 9 C/O Todd Obanion Block: 2 Anchorage AK 99503 Pump Inataltaion Date: 6/16/2010 Pump intake Dep~ Below Top of Well Casin 266 Pump Manufacturers Name Dempater Pump Model: MBF2-100-S2 Pump Size: 1 HP Pi'Jess Adapter Burial Depth: 10 Feet P~ess Adapter Manufacturers Name B-10 P~tless Adapter Insta]ler: UK Well Disinfected Upon Completion? Yes Method of Disinfection: Chlodne Comments: PumplnetailerName: Arctic Pump & Well, Inc. Wednesday, ~51ay 18~ 2011 Municipality of Anchorage Community Development Department On-Site Water & Wastewater Program 4700 Elmore St. · P.O. Box :Io.)6650 · Anchorage, AX 99507-6650 · w__ww.~onsite~ · {907) 343-7904 Well Decommissioning Log Legal Address: Subdivision j-4Ez~ h/~.z.o,~ ~ ~ ~lock ~ T R ~ .. / ~ ~ Lot -.~ ~ec[lo~ Lot~ ' On-site Water & Wastewa~r Pro, ram ce~ifled contra~or ~ormin~ ~he well de~mmis~n~: ~ Loca~i°n: Use the space below to Provide a drawin~ of the prope~y showin8 the fo]lowin items- * North Arrow ~ , Decommission ed weN, O~her wa~er we{Ison the prope~y, Two segarate swin~-tie distances for each well shown ~n the drawing, / t LECEND \~ tx \ or~D~ / / Permit Number: OSP101024 Tax Code Number: 05150108000 Work Type: Well Permit Effective Dates: May 14, 2010 Design Engineer: On-Site Water 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 Upgrade to May 14, 2011 Subdivision: SLEEPY HOLLOW #1 Site Legal Address: SLEEPY HOLLOW#1 BLK 2 LT 9 G:1160 Owner/Address: WATTO MICHAEL B PO BOX 670335 CHUGIAK AK 995670335 Site Mailing Address: 23838 SLEEPY ClR, Chugiak Lot Size in Sq Ft: 63380 Total Bedrooms: 3 merit ~9 Department This permit is for the construction of: N Disposal Field N SepticTank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at [east 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. Special Provisions: Existing well shall be decommissioned in accordance with AMC 15.65.060L. ReceivedBy:~~.. ~ / Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www. muni.org/onsite (907) 343;7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Property owner(s) //~ / (: lff,~ ~¢.. /..~)/~f"7-'T"o Day phone Mailing address ~'~1~ /:~,JE-~-'JA' ~-~LJ~STg~ ~pCode S[teaddress p~ ~ ~ C~,~ ZipCode Legal description (Sub'd., Block & Lot) /~ ~ L~T ~ ~Z~Y ~o'~' Legal description (Township, Range & Section) Lot Size ~:%'72,'~,~(~) Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR ([~ ale that apply): THIS APPLICATION IS AN: Absorption Field [] Initial [] Septic Tank [] Upgrade [] Holding Tank [] Renewal [] Privy [] Private Well [] Water Storage [] 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/Rush Fees: Date of Payment: Receipt Number: (Rev. 11105) Waiver Fees: 'C/q/J0 Date of Payment: 0~""~-b Receipt Number: ' C,O. ~ DESION CRITERIA: · ~ / 4 BDRM = 600 GPD _~, ~ OR ~2" INSU~TION OVER ' ' ' ~ ~ FILTER FABRIC SOILS = 1.2 GPD/SQ. ~. REQ'D .v.' - 600/1.2 = 500 SQ. ~. REQ'D 2.0' WIDE ~N ROCK SEPTIC DESIGN PREPARED FOR MICHAEL N. ANDERSON, P.E. ~ ~~...¢ Municipality of Anchorage Page J of ~'_ DFPARTMEN'I' OF" HEALTH AND HUMAN SERVICES ENVIRONMENTAL SI"RVICIES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~5 vw' ~1,,~ oo~"7 __ PlDNumber:_.oS~o\o~3 ,- ~?..g.'¢ ~-~ 6 Tt_6'~ Wastewater System: ~ New [] Upgrade Address: _~ot~ ~'~o'~'~5 c.~-~o~,~, ~,~, °,~s(r7 ABSORPTION FIELD Phone: No. of Ballrooms: ~ ,~:>~:~'~:~- ~_,OLp.~-- l~DeepTrench E] Shallow Trench E]Bed [3Mound ~Other LEGAL DESCRIPTION So.,.~ing: Total Depth Irom original grade: ~ , ~ GPD/Sq. Ft. ~ ' Lot: Block: Subdiv~ion:~ ~ ~ Depth [o pipe bo~om from original grade: Gravel depth beneath pipe Township: ~ Range: Section: Fill added above original grade: Gravel length: I WELL: ~=~sT~ Upgrade ~rave[ width: ~ ' Ft. Number of lines:~ ~Oistance ~tween]ines:~ Et ~lassification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. -- ~ 0 ~ SQ. Ft. ~ 0 ~riller: Date Drilled: StaticWater Leveh Installer: Date installed: Yield: GPM IPump Set at: Ft. ICasing Height Ab°reGrOund:Ft. TANK SEPARATION DISTANCES ~s~,,~ ~ Holding ~ S.T.E,P. TO Septic Absorption Lilt Holding ~ubfic/Privale Manufacturer: Capacityin ga[ions: Prom Ta.k Field Statio. Tank Sewer Lines ~ ~ ~ ~ ~ Well' ~ z ~ ~ ' ~/~ ~ JO0 ~ aateriak 5 T~; ~ Number °f C°mpartments: SuHace Water ~/~ ~A ~A ~/A ~/A LIFT STATION~ LOt ~ ~ Sizein gallons: ManufActurer: ~/~ , "~mp on" level a~~ level at: J High water alarm at: Foundation ~ ~ ~0 ~/~ N/A ~0I , Cu~ain Remarks: ~ ~]~(( /~, (~ ~ (~ BENCH MARK ~, % ~,~ ~ t ~ Location and Description: I Assumed Elevation: /~0° ENGINEEa'S SEAL ~ ~" Inspections pedormed by: ~ A~Aso~ DateS:2ndS.[3,q6 4:3op ~~~,,:,-. ~lstS'z~'~b ~:~" ,,,~ .............. , ¢;~ %., t,',c.~,~"~ ~. Depadment of HeaBh and Human Se~ices approval ~ ~,~'~.,.. ?~/~ .. . '~ ~':'',,,,,' Rev ewed and approved by'- Date' //-/~ -~ ,,,~ ~-,, .~,".'~ .. ,? ~,~ Permit No. SW980057 2 2 Page of Municipality of Anchorage DEPARTMENT OF' HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 34.3-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lot 9, BIk 2, Sleepy Hollow Subd. No.1 PID No.: 05150108 1.80' EXISTING ASBUILT N 3.0' of Cover TANK 2" INSULA~ON OVER FLIER FABRIC 94.1 )OoOoOo°<DRAIN ROCKo° °94.t BASED ON 100,0' - TOP OF FOUNDATION AT GARAGE CONC. 8LK. FOUNOATION $9'£ 4.9' C01 TC01 TRENCH #2 ~ TC02 GAL TANK A GRND, PIPE SYSTEM I I I~ IE,Ev. IE,A~v.I C.O. 1 9.9' 52.2' 101,2' 98.1'~ TRENCH IT.C.O. ~ JnU 134.5'1100.9'l l T,C.O. 2 16.5' 40,1' ~00.8' C.O. 3 24.7' 47.7' 100.6' 97:~'J DIVERTER 28,8' 51.0' 100.5' 97,3'J m,....~ .~ ,.,~.,~ ........ ~.,,..~ ~"~: ~ ¢~:~" ~:~: %~: --, -.~,~.c~ ~o~,~. ..... , ~ ~/~/" ' ~'/~o~ > "' ~>~/~/~..'""~ September 30, 1998 Marshall Hetlet P.O. Box 771404 Eagle River, AK 99577 (907) 688-1137 Department of Health and Human Services P.O. Box 6650 anchorage, AK 99519-6650 (907) 343-4744 Office (907) 343-4786 Fax Re: Lot 9, Block 2, Sleepy Hollow Subdivision No. 1 Dear Jim Cross, P.E. This is a list of reasons the septic system was put in by the property owners (Marshall Hetlet & Larry Hetlet). 1. Cost 2. The straight forward design of the system. 3. The soil conditions made digging and putting in the septic system easy. 4. My years of experience in underground and road construction with the following contractors - Harman Excavating, MMC Construction & Commancbe Corp. 5. My fathers (Larry Hetle0 experience putting in septic systems for Rasmusson Enterprises. 6. Mike Andersons guidance, direction and availability by cell phone to answer questions and inspect the system as we put it in. Sincerely,~ Marshall Hetlet 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 WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW980057 DATE ISSUED: 4/09/98 DESIGN ENGINEER:ANDERSON CONSTRUCTION & ENGINEERING EXPIRATION DATE: 4/09/99 OWNER NAME:HETLET MARSHALL L & REBECCA L OWNER ADDRESS: PARCEL ID:05150108 LEGAL DESCRIPTION: SLEEPY HOLLOW #1 BLK 2 LT 9 LOT SIZE: 63360 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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 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 ST~ME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. DATE: March 31, 1998 Michael Anderson, P. E. 14250 Golden View Drive Anchorage, AK 99516 (907) 345-3377 home (907) 345-1391 fax Department of Health and Human Services P. O. Box 6650 Anchorage, AK 99519-6650 (907) 343-4744 Office (907) 343-4786 Fax Re: Lot 9 B 2 Sleepy Hollow Addition Dear Jim Cross, P.E. This a request for an on-site septic perm/t. The above lot has an existing well already and the owner now wants to build a 4 bedroom residence. Two test pits were excavated and found to pert at 2 minutes per inch. The soils consisted of a loose gravel (GW) to a depth of 12 feet. The excavation of the test holes was te~nated at 12 feet because the of the loose soils. A probe was driven into the loose soils for two feet to help in determining if bedrock was near the surface. No ground water was encountered during the excavation or after the 7 day monitoring. The septic design consists of two trenches with three feet of effective depth as shown on the plan. The 25 percent slope is uphill from the test holes and will not present any problems. There are no surface waters within 100 feet of the proposed on-site septic system. The existing systems on the surrounding lots appear to be performing adequately. The topography of the lot is flat where the house will be constructed and then sloping to the north west as shown on the plan. Please feel free to call me at any time to discuss this system at 345-3377. Michael N. Anderson, 8 VACANT LOT x, % / "::P' · I SEPTIC DESIGN PREPARED FOR LARRY HETLET LOT 9, BLOCK 2 SLEEPY HOLLOW SUBDIVISION, NO. 1 PREPARED BY MICHAEL N. ANDERSON, P.E. 14250 N. GOLDENVIEW DRIVE (907) 345-3377 / I--AX (907) 345-1391 SCALE: 1"=100' BATE: .3/31/98 / / / % / / LEGEND % C.O.- ~ EXISTING PROPERTY CORNER % ~ BRAINAGE ARROW ~ ~ EXIS TING ~LL ~ TEST HOLE % DESIGN CRITERIA: ~ 4 BDRM = 600 GPD SOILS = 1.2 GPD/SQ. ~, REQ'D 600/1.2 = 500 SQ. FF. REQ'D TRENCH: 6' DEEP 3' EFFECTIVE 2,0' WIDE (2) z~2' LONG CL qLY RESIDENCE -1' ~OR -12' ~BW INSULATION OVER FILTER FABRIC ROCK SEPTIC DESIGN PREPARED FOR LARRY HETLET LOT 9, BLOCK 2 SLEEPY HOLLOW SUBDIVISION NO.1 PREPARED BY MICHAEL N. ANDERSON, P.E. 14250 N. GOLDENVIEW DRIVE (907) 545-5577 / FAX (907) 545-1591 SCALE: 1"=60' DATE: 5/51/98 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-.0650 SOILS LOG -- PERCOLATION TEST CE- 9469 ' "'~ 2 11 DATE PERFORMED: Township, Range, Section: 16 17 18 19 20 SLOPE SITE PLAN IF YES, AT WHAT DEPTH? Oepth Io Wild' AI~ Monitoring? ~,/r,~ Gross Net Depth to Net Reading Date Time Time ~_r~ ~'~ Water Drop -('_ /o ', / _ ~ ~O '~ PERCOLATION RATE ~ (mlnutes/inchl PERC HOLE DIAMETER TEST RUN BETWEEN .---.~___ FT AND, ~ __FT 30MMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THiS DATE. CERTIFY THAT THIS ~TEST WAS PERFORMED IN 72-008 (Rev. 4/85J Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST OATE PERFORMED: 2 3 4 5 6- 7- 8- 9- 10- 11~ 12 13 14 15 16 17 18 19 20 Township, Range, Section: SLOPE SiTE PLAN WAS GROUND WATER ENCOUNTEREr~? IF YES. AT WHAT DEPTH? Monitoring? Reading Date Tiros Time Water Drop .-----~, 1.. / / PERCOLATION RATE Im~nutes/~nch) PERC HOLE DIAMETER -- ;OMMENTS TEST RUN BETWEEN . FT AND 7-,/-/, FT PERFORMED BY; ~/~/~//~'~'" I CERTIFY THAT THI TEST WAS PERFORMED IN ACCOROANCE WlTHALLSTATEANDI~UNICIPALGUIOELINESI' EFFECTONTRiSDATE. DATE: ~/~ 72-008 (Rev. 4/85) Municipality of Anchorage Page _ of 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: ~/~V,~c,'¢~ (~fl,3/ac. unle~ PID Number: .C~~ ¢<)~-' N~m.: ~/~S~Z~ ~-~"~ Wastewater System: D New ~ Upgrade Address:/~O.~OX 77/~/07 ¢:4~[-~V4¢& ~K q'7577 ABSORPTION FIELD Phone: ~'//:3~ ~No. of Bedrooms: ~ Deep Trench ~ Shallow Trench ~Bed D~Other LEGAL DESCRIPTION Soil Rating: Total Dept~o~ original grade: GPD/Sq. Ft, Township: I Range Isect,on: /¢ Fill added above ori inal ra e' /'T~ ~ g ]l~:~F Gravel length: WELL: B New ~ Upgrade 'ravel width: / Number°f lines: 1Oistance~*eenlines: Ft.[ Ft. Classification (Private, A,B,C): Total Depth: Cased TO: Total absorpt~d~rea: Pipe material: Date Drilled: St¢licWater Level: I~1~: Date installed: I Pump Set ~t: ~ Casing Height Above Ground: SEPARATION DISTANCES ~ s,,,c ~ ~t~ fl/--~ S.T.E.~. M~/ Number of Compa~ments: We]~ SultaCewater LIFT STATIO~ Lot Size in gallons: ~ ~anufactur~r: Line Draln ~omarks: BE~H Inspections performed by: ~¢ [ Z¢'~u/,¢O Dates: 1st ~.~¢~¢~,,~ Depadment of Health and Human Sendces approval ~;:../¢,/~,~.~:,~ 72~13 (Rev, 9/91 ) MOA 25 / / / CLEAN OUT / / · FOUND #5 REBAR / (PROPERTY CORNER) / / ASBUILT SURVEY ..-'~"~' OF 47"h ~. ~...~%,,. ~-~.'~ .7',~ ; *.:4~ m~ '..*~ '~,'.. LS-9108 ..'~ 5 ". .'F~ \ / \ \ \ I hereby certify that an accurate survey of the improvements on tho following described propert}~ LOT 9, BLOCK 2 StEEPY HOLLOW SUBDIVISION No.1 was made on October 22, 1997, and that said improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto and that no improvements lying adjacent thereto encroach on the premises in question, except as shown, and that there are no visible or platted roadways, transmission lines or other easements except as shown. It is the responsibility of the owner to determine the existence of any easements, rights-of-way, covenants, or restrlctlons which do not appear on the subdivision plat. Under no circum- stances should any data hereon be used for construction or for establlehin boundary or fence lines, DRN, MLH DATE: lO/24/9Z MARSHALL HETI_ET CI<D. SCALE 1"=100' LAND SURVEYOR F.O. JOB# P,O. BOX 771404 EAGLE RIVER, AK. 99577 PLAT# 73-84 ORmO NWl160 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. ~5/- :~1-~')~ 1. GENERAL INFORMATION HAA# /)d'D q 5 5 Expiration Date: Complete legal description SLEEPY HOLLOW SUBDIVISION #1; LOT 9, BLOCK 2, Location (site address or directions) 25838 SLEEPY CIRCLE * EAGLE RIVER, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ALEX & SYLVIA BEAVER Day phone (907) 384-5014 25858 SLEEPY CIRCLE * EAGLE RIVER, AK 99577 Day phone GREG SHEARS W/ COLDWELL BANKER Dayphone (907) 517-5000 2525 "C" ST. * ANCHORAGE, AK 99505 Unless otherwise requested, HAA will be held by DSD for plckup. 2. NUMBER OF BEDROOMS: 5 ISEPTIC SYSTEM SIZED [ FOR 4- BEDROOMS 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for propedies served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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, based on procedures outlined in the Health Authodty Appreval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING OROUR, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any wan'anty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Note: The well for this property meets existing State and Municipal Codes. There are nitrates present. It is suggested that periodic testing be performed to insure the wells continued suitability. Current nitrate concentration is 5.59 rog/1. EPA maximum concentration is 10.0 mg/l. More information on nitrates is available from the On-Site Services Program, at 343-7904. Attach ments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other (Rev. 12~)1) Original Certificate Date: Municipality of Anchorage Development Se ices Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: SLEEPY HOLLOW SUBDIVISION #1; LOT 9, BLOCK 2, Parcel ID: A. WELL DATA *PER 1997 INSPECTION REPORT Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed *LATE 60'S Sanitary seal (Y/N). YES Totaldepth '155 ff. Casedto *40+ ft. Date of test Static water level '16 Well production WATER SAMPLE RESULTS: Coliform "~. colonies/100 mi. Arsenic: N/A mg./L. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL FROM WELL LOG *LATE 60'S g.p.m. Nitrate ~,~Jcl mg./L. Date of sample: 8/4/2005 Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Well Log (Y/N) Wires propedy protected (Y/N) Casing height (above ground) AT INSPECTION 8/4-/2005 2.3 ff. 2.06 g.p.m. NO YES 12+ in. Other bacteria '~A colonies/100 mi. Collected by: GEG, LtD. Date installed 8/23/1998 Cleanouts (Y/N) YES High water alarm (Y/N) N/A Date of pumping 8/4/2005 Pumper C. ABSORPTION FIELD DATA Date installed 8/23/1998 Length 84 (2 @42) ft. JR'S PUMPING SERVICES r'BELOW RNAL GRADE'I Soil rating Or ft~'bdrm) 1.2 Width 2.0 .ft. Total depth .6.0-8.8 ft. Eft. absorption area 504 ff~ Monitoring tube YES Date of adequacy test 8/4-/2005 Results (Pass/Fail) PASS Fluid depth in absorption field before test DRY in. Water added 524 gal. Elapsed Time: 122 min. Final fluid depth DRY in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN SEPTIC SYSTEM SIZED FOR 4 BEDROOMS System type DUAL TRENCH Gravel below pipe 5 ft. Depression over field NO For 3 bedrooms New depth DRY in. 4-50+ g.p.d. If yes, give date - D. LIFT STATION Date installed Size in gallons Manhole/A~ "Pump on" level at~. High water alarm level at .in. Cycles tested Da.._~_utum ~ Meets alarm & circuit requirements? E. SEPARATION DISTANCES Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service Pine SEPARATION DISTANCES FROM WELL ON LOT TO: 100'-t- 100'+ N/A 25'+ Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line. 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION F~ELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain . NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Absorption field Surface water. N/A 5'+ 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ G. ENGINEER'S CERTIFICATION ! certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Date ~/,~"/~'-' JEFFREY A. GARNESS Date of Payment Receipt Number (Rev. i2/01) Waiver Fee $ Date of Payment Receipt Number '..MunicipalitY of. A n'c h o,:a g e Development Services Department Euilding Sa~e~,/Division On-Site Water & Wastewater ?rogram 4700 South Bragaw St. P.O. Box 1 g665~ AnFncrage, A& ~51 ~-5~,,~0 ww',v.ci.anc~ qrsge.~k,us (907]) 343-7904 051--501--08 FOR A SINGLE h-AN!LY DWELLING SLEEPY HOLLOW SUBDIVISION (~); LOT 9, BLOCK Parcel !,D.i __ i. GENER. AL iNFORi¥iATION Complete legal description . Location (si.re address o(direciions) Current Property owner(s) Mailing address Lending agency Mailing address 23838 SLEEPY CiI~CEE * CHUGIAK, AK 99557 '" LARRY H~-L_FT D~y ph'one 688-2063 Real Estate Agent Mailing address P.O. BOX 670775 * CHUO1AK, AK 99567 Day phon~ LYNN SWANSON ~v/ ~'RUDENTIAL VISTA Dayphone__ 2__~42-2212 16635 CENTERFIELD DRIVE * E~LE RIVER, AK 995'77 Ur?less othe~vise requested, HAA will be held by DSD for pickup. 2. NUMBER O'F BEDROOMS: '5 *SEPTIC SYSTEM SIZED FOR 4- BEDROOMS 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual On-site Individual Water Storage [] Individual Holding tank Community Class Well [] Community On-site Public Water System [] Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Ce,'iJficates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Ceriificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the pro~essional engineer's work. '. ' ' N~e: Alaska Water and Wastewat~r Con-sbltants, Irc. -shall be paid.$ : at, or prior- [ to closing for the engineering services provided. . ..... 4. STATEMENT OF INSPECTION BY ENGINEER As ced/fled by my see/a~xed hereto and es of fhe validation d¢',e shown b¢fow I vefi~/ Lba¢ mv . investigatioh based on procedur~ outlined in the Health Adthofity Appmvb/Guide/ine~ for thi~ application, ' shows that the on-site wster supply and/or w~tewa~er disposal system i~(are) ~fe, fimcfional and adequ¢te for the number of bedrooms and t~oe of structure indicated herein. I fuRher verify that based on the infom~ation obt~iaed from the Mon~c~oality of Anchorage fi,'e~ and from my investio~ion and in~ection the on-si~e v,a~er supmy a~d~or was&~wa~e~' o}s~o~ai sy~m i~('~e) in como,'ance ~,flh a~ ap,oiic~b~e Mun'c 'Name of Firm ALASKA wATER ~..WASTEW4TEB CbNSULT,~i~TS, .INC..' . Phone 337/61 AddreSs 6901 DEBAI~R' ROAD, 'SUITE 28 '* AhJdHORAOE. AK 99504 ng neers Pr nted Name JEFFREY A. OARNESS, P.E. Engineer's Comments: In. canductingl this evaluation, AK~C, lnG. attempted, to provide a thorough, conscientious engineering enalysis of the system iq ~ccofdance with ADEC and MOA DSD Guidelines & Regbtations. .The reposed results descrtbe¢ the performance ~f the system under the conditions encountered at the time of the test, and separation distances measured lo readily identifiable features. Tbe operational life of all wefts and septic systems depend on the local soils condition, gmundwater lev~ls that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system· Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. At~WWC, Irc, can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of Ihe ADEC or MQA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE X Approved for 3 bedrooms. NOTE: Disapproved. Conditional approval for __ bedrooms, with the fllowing stipulations: The well for thi~ orooerrv meetq ~'sri~'~ ~t~re 5r]ln~rln~l Rr, d~q There are nitrates present. It is suggested that periodic' testing be performed to insure the wells continued suitability. Current nitrate concentration is ~i24'mg/1.EPA maximum concentration is i0.0 ~g/1. More info on nitrates is availa~!e at the ON-SITE Program.; A~ 343-7904. Attachments: ~ HAA Checklist ~ Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: Original Ced:ificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 w"ww.ci.anchorage.ak.us (907) 343-7904 Legal Description: A. WELL DATA HEALTH AUTHORITY APPROVAL CHECKLIST ¢' / SLEEPY HOLLOW S/D ~; LOT 9, BLOCK 2, Parcel ID: *PER 1997 INSPECTION REPORT Well type PRiVATE If A, B, or C provide PWSID# N/A Date completed *LATE 60'S Sanitary seal (Y/N) YES Totaldepth '155 ff. Casedto *40+ ft. FROM WELL LOG Date of test *LATE 60'S Static water level '16 .ff. Well production '5 g.p.m. WATER SAMPLE RESULTS: Coliform ~ coloniesllOOml. Nitrate ~1,3 mg.IL Arsenic: N/A mg.tL. Date of sample: ,7,/4/2003 SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Tanksize 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 2/28/2003 Pumper ~'BELOW FINAL (;;RADEI Soil rating Or ft2/bdrm) 1.2 Width 2.0 .ff. ABSORPTION FIELD DATA Date installed 8/23/199s Length 84 (2 @ 42)ft. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 2/28/2005 24 ff. ,.3.4 g.p.m. Other bacteria Collected by: Total depth *6.0-6.8 ft. Date of adequacy test Fluid depth in absorption field before test 0 in. Elapsed Time: 0 min. Final fluid depth 0 Any rejuvenation treatment (past 12 mo.) (Y/N & type) 051-501-08 NO YES 0 colonies/100 mi. AKWWC, INC. System type DUAL TRENCH Gravel below pipe 3 .ft. Depression over field NO For **4 bedrooms New depth 0 in. in. Absorption rate >= 600+ g.p.d. NONE KNOWN If yes, give date - **HOUSE IS ONLY 3 BEDROOMS. SEPTIC SIZED FOR 4 BEDROOMS. Eft. absorption area 504 ft2 Monitoring tube YES 2/28/2003 Results (Pass/Fail) PASS '.., Water added 653 gal. 12+ .in. Date installed 8/23/1998 Cleanouts (Y/N) YES High water alarm (Y/N) N/A JR'S PUMPING D. LIFT STATION Date installed Size in gallons ManholelAc~s~rW~-~ "Pump on" level at~. High water alarm level at .in. Cycles tested ~ ~ Meets alarm & circuit requirements?. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manholelcleanout Holding tank N/A N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation, 1 0'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION Absorption field 5'+ Surface water. 100'+ 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed/Name Date JEFFREY A. GARNESS HAA Fee $ ~ Date of Payment 3' ~)' 0,.~ Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number FROM : LARRY'S WOODWORKING PHONE NO. : 907 688 2063 Map. 20 2003 10:03AM P1 0 0 0 0 0 0 LEGEND · #5 REBAR ASBUILT SURVEY I he. by certify that an accurate Survey of the improvements on the fellahin§ descried property:. .~wosm LOT 9, BLOCK 2, SI F?Py HOLLOW SUBDIVISION No.1 ads on March 15, 200,t, and that sold improvements situated thereon ars within the property lines snd do not ov~dap or encroach on the property I~ng adjacent thereto and that no impro~ments I~;ng adjacent thereto encroach an the premises In questkm, except as ~hown, and [hat there are no visible or platted roadways, transmission lines or other ea~-a~qents except as ~ho~. It Is the reapofleiblqity of' tho owner to determine the existence of any easements, rights--of--way, cove~antw, er restrictions which do not appear an the subdivision plot. Under no oircum- stance~ should any data he-eon be used for conott'uctian or for estsbli~hlng boundary or fence lines. O~N..,.MLH DA~ 3/~8~0'3 MARSHALL HETLET c o, sc z 1'=5o' LAND SURVEYOR #.e. ~e~ P.O. BOX 771404 ~'~?~ 73-84 ~D NWl160 EAGLE RIVER, AK. 99577