HomeMy WebLinkAboutLAKE HILL ACRES #2 LT 2Lake Hill Acres
#i
Lot 2
#051-122-34
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP181437 PID Number: 051-122-34
Dwelling: ❑® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑® Upgrade
Name
THOMAS & VICKI PRUNTY
ABSORPTION FIELD
❑ Deep Trench ❑Wide Trench El Bed EJ Mound
Site Address
22717 MIRROR LAKE DR, CHUGIAK AK 99567
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Fl.
Subdivision Block Lot
LAKE HILL ACRES #2 2
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
ToTotal
Septic
Absorption
Holding
Sewer
absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
Ftl
Ft.
Well
125.1
100'+
TANK ❑ Septic H S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCHORAGE
Capacity
1250 Gal.
Surface Water
113.9
Material
Number of compartments
Lot Line
32.0
NA
STEEL
2
Foundation
11.2
LIFT STATION
Manufacturer
Orenco
Capacity
250 Gal.
Remarks
Alarm location
existing
Electrical installed by
existing circuit
PIPE MATERIAL House to tank 3034 Tank to
drainfield 3034
Installer
JR'S SEPTIC
Drainfield CO/MT 3034
Inspector Pannone Engineering
BENCH MARK (Assumed elevation) 322 ft
Inspection
15' 04/10/19
Location and description
V 4,h
House Trim
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional A PP royal: Date
h
OF AL gS�
49 TH
ei—i ... Pnnriorr:
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Septic System&u�
Pp Date j(� ap�v A roved&yX
Note: this approval does not include well permit requirements.�'�`�
(Rev 05/02/18)
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PANNONE ENG SVC LLC
P.O. BOX 1807 PALMER, AK �9645......
REVISIONS
DATE
12/06/2019
RECORD DRAWING
PHONE (907) 745-8200 FAX (907) 745-8201
SCALE
LAKE HILL ACRES #2 L2
THOMAS 11 VICKI PRUNTYPERMIT
22717 MIRROR LAKE DRIVE
.... .. . ......
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MUNICIPALITY OF ANCHORAGE ,,,I
On-Site Water& Wastewater Program .5;:
PO Box 196650 4700 Elmore Road %.
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
i http://wwvv muni.org/onsite
I)epartnicii
On-Site Wastewater Disposal System Permit
Permit Number: OSP181437 Effective Date: 12/14/2018
Work Type: SepticTank Upgrade Expiration Date: 12/14/2019
Tax Code Number: 05112234000
Site Legal Address: LAKE HILL ACRES #2 LT 2 G:1562
Site Mailing Address: 22717 MIRROR LAKE DR, Chugiak
Owner: PRUNTY THOMAS JAMES & Lot Size in Sq Ft: 16900
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907)343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: Date:
/�
/ i`
Issued By: 1/i � Date: /Z--409
J
4PLAms
�
RvH
k -0-% MUNICIPALITY OF ANCHORAGE
Community Development Department / Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water& Wastewater Program
ON-SITE SEWERNVELL PERMIT APPLICATION
Parcel I.D. 051-122-34
•
Property owner(s) Thomas & Vicki Prunty Day phone
Mailing address P.O. Box 671628 Chugiak, AK 99567
Site address 22717 Mirror Lake Drive Chugiak, AK
Legal description(Sub'd., Block& Lot) Lake Hill Acres #2 L2
Legal description (Township, Range & Section)
Lot Size 16,900 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(El all that apply)
Absorption Field ❑ Initial ❑ Single Family(SF) ❑X
(w/wo ADU)
Septic Tank Q Upgrade El
Duplex(D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
Dis tance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Munici
(Signature of property owner or authorized agent)
Permit/Rush Fees: 2/5 Waiver Fees:
Date of Payment: /9.//31/Y Date of Payment:
Receipt Number: 6711/(7 Receipt Number:
Permit No. 165fia f e1, Waiver No.
Permit App_:-:•: c:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181437, Deb Wockenfuss, 12/14/18
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181437, Deb Wockenfuss, 12/14/18
290
SULLIVANT
Domestic - commemlal - Geothermal
Phone 907-008-2759
www.wllivonwatervxlis.eem
Well Log
Permit Number: OSP 121393 Date of Issue 11/5/2012 Parcel Identification Number: 05112234000
Date Started: 1117/2012 Date Completed: 111712012 Is well located at approved permit location? DYes ❑No
Property Description LAKE HILL ACRES 02 Lot 2 Block Section: Town: Range:
Property Owner Name & Address: THOMAS PRUNTy
854 E. 36TH AVE ANCHORAGE, AK 99503
Borehole Data:
Depth
Method of Drilling ] air rotary cable tool
Soil Type, Thickness & Water Strata
From
To
Casing type:
Casing Stickup
0
2 -
Wall thickness 0.25 inches
Diameter 6 inches Total: 164 feet
Overburden
2
4
Liner type:
Peat
4
6
Diameter inches Depth: feet
Sand & Gravel Silty
6
20
Casing stick-up above ground: 2 feet
Static Water Level(from top of casing) 49 feet
Silt W/Gravel 20 32
Clay & Sift
32
80
Pumping Level: feet after
Gravel & Clay
80
94
_ 1 hours pumping 12 gpm
Recovery Rate 12 gpm
Clay
84
125
Method of Testing: Air
Clay & Gravel
125
134
Well Intake Opening Type
Clay
134
162
0Open End [] Open Hole
Sand & Gravel
162
165
n LJ Screened Start feet Stopped feet
Perforations Start feet Stopped feet
Grout Type: Bentonite dry granular Volume: - Pounds
Depth 44 Start o feet Stopped as feet
Pump Intake Depth: feet
Pump size: HP brand name
Well disinfected upon Completion? L Yes JI No
Method of disinfection CHLORINE 50 PPM
Comments:
Water Sample Results:
Arsenic:
SZug/1
Well Driller:
Cole Sullivan
Nitrates
Ajo mg/l
Sullivan Water Wells
Total Coliform Bacteriacolonies/100ml,
Ate—
P.O. Box 670272
Chugiak, AK 99567
Other bacteria:
—1roF100mL
(907) 688-2759
Attention: The property owner shall provide this log to DSD (onsite) and DNR within 30 days of completion.
1�—� Develop ent Services Depar s incl
Building Safety Division
aE e
On -Site Water & Wastewater PrWt°at}q
4700 Elmore Road
P.C. Box 196650jr
<
Mark Begich An&,oroge, AK 99507 $ A E T Y
Maya' rnMAUni.orglnnsite
(907)343-7904
Pump installation Log
Well Drilling Permit Number: Date of Issue'• t)���
Parcel Identification Number.t���a
LegalDescription
Lc� $' �`e7 *�10toT01
Owner Name &Address:
iluVC.
61
Pump Installation Date:
Pump Intake Depth Below Top of Well
/ V� feet
,Casing:
Pump Manafacturer's Name:
www?
PumpModel:l5 �l�-� cl—
s I
Pump Size t./) hp
Pidess Adapter Burial Depth: a feet (eq-,3 ci NEA
/l
Pittess Adapter Manufacturer's Name: v /{ j p At`kAn
Pitless Adapter Installer /r /o wy � a/
d�S lJ
Well Disinfected Upon Completion?,g Yes ❑ No
Method of Disinfection:
Comments:
Pomp Installer Name:
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
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
Permit Number: OSP121393
Tax Code Number: 05112234000
Work Type: Well Initial
Permit Effective Dates: November 05, 2012 to November 05, 2013
Design Engineer:
Subdivision: LAKE HILL ACRES #2
Site Legal Address: LAKE HILL ACRES #2 LT 2 G:1562
Owner/Address: PRUNTY THOMAS
854 E 36TH AVE ANCHORAGE AK 995030000
Site Mailing Address: 22717 MIRROR LAKE DR, Chugiak Lot Size in Sq Ft: 16900
Total Bedrooms: 3
This permit is for the construction of:
N Disposal Field N Septic Tank 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 least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcell.D. 051-122-34-000
Property owner(s) Thomas J. Prunty
Mailing address 854 E 36th Ave
Site address 22717 Mirror Lake Drive
Legal description (Sub'd., Block & Lot) Lake Hill Acres #2 Lot 2
Day phone 907.632.5017
Legal description (Township, Range & Section)
Lot Size 16800 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(0 all that apply)
Absorption Field ❑
Initial ❑x Single Family (SF)
x❑
(w/wo ADU)
Septic Tank ❑
Upgrade ❑
Duplex (D)
❑
Holding Tank ElRenewal
❑ Multiple Dwellings
❑
Privy ❑
(SF and/or D)
Private Well ❑x
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is rther certify that this is in accordance with
applicable Municipal Codes.
Tze
(Signatu a of property owner or
uth)
Permit/Rush Fees: — Well P64H J-
DateofPayment: _101'O 12: cb%w
Receipt Number. 012.bg0
Permit No. 0510 La
Permit App_::- : .
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
'f } h � r r 0 ✓' �' G}' �� /'1✓' / J
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MUNICIPALITY OF ANCHORAGE
C DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
L 11VO4 �
PHONE
6S8"�%«
LRNEW
❑ UPGRADE
MAI LING ADDRESS
LEGAL DESCRIPTION
LOCATION
NO. OF BEDROOMS
Uy
DISTANCE TO:
Well
/Q®/
Absorption area
;t5°
Dwelling
PERMIT NO.
�7 6 (D6 -5-.?-5-.?
aQ
w F
Manufacturer
CANo c €� Go.c/�2 Ery �2a�.
Material
�o%�c2ErE
No. of compartments
y
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
/69O�
y
DISTANCE TO:
Well
Dwelling
PERMIT NO.
-j0z
Manufacturer
Material
Liquid capacity in gallons
UJ =
DISTANCE TO:
Well
Foundation
Nearest lot line
PERMIT NO.
J LL z
No. of lines
Length of each line
Total length of lines
'
Trench width
Distance bgVen lines
F z w
.2
5S'
:70
/ 38 inches
(v
aFes-
Top to finish
Material beneath tile
Total effective absorption area
of tile grade
°
0
.Z°
inches
�a2-5
Length
Width
Depth
PERMIT NO.
w
a
Q i,-
Type of crib
Crib diameter
Crib depth
Total effective absorption
area
wa
W
Well
Building foundation
Nearest lot line
DISTANCE TO:
Class
Depth
Driller
Distance to lot line
PERMIT NO.
J
w
Building foundation
Sewer line
Septic tank
Absorption area(s)
DISTANCE TO:
OTHER
PIPE MATERIALS 4,, I-Va '�y,=,Q� /%y"f'LfIJ'T/c'o
¢111,vC
SOI L TEST RATING
INSTALLER
Q/ZESK//✓ ��l/T.�/�
r
e
.
REMARKS
C%t//r
J
IN
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C0 L craze — e4
0
o F Al
�ke�s n`°�eeceoe�n a� A
421
pao•e aaa � a .zee one ee ca e
;may o Earl P. Ellis
4't
ya
APPROVED DATE LEGAL
�/
4912S /%8 Z07 -,e, �//KE/ficc j�Cb2t S DD's'
��
�U P�I C�I�I�Ilr� ��� ����F'��������*j«'`'�D
/^ DEPHRTMENT C_ HEALTH AND EWVlR0NMENTHL . ]TECTICIN - -
/L/ STREET' ANCHORHGE/ HK. 99501
264-4720
KI PA'1.-7 FE E 9 11:= F" Peg Ml.~T
PERMIT NQ. ( 780652 )
HPPi.ICHNT LINDA BESSE BX 4-2c,75 HNCH 688^^2712
LQCHTIQN LHKEHILL ACRES L�OT SIZE 168000 SQUHRE FEET
TYPE OF SOIL GBSORBTI0N SYSTEM ISDRHINFIELD
MHXIMUM NUMBER OF BEDROOMS -3 SOIL RRTING (SQ FT/BR145
THE REQUIRED SIZE OF THE SO IL. HBS8RPTION SYSTEM IS�
�F"���= �. � ��������
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD
THE DEPTH OF H TRENCH 0fi! PIT IS THE BETWEPi THE SURFACE OF THF
GROUND HND THE BOTTOM OF THE EXCAVATION (IN FEET).
�V�� �������A �10
11-1E
��� �. �&�� ����
THE GRAYEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE 0UTF8LL PIPE
AND THE BOTTOM QF THE EXCAVATION. (IN FEET).
�C�, u I FZ F____ CA E-:_ F-- —H 1 C� YFA P�
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE
INSTGLLHTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
-1 P�4 I P -A E�l U7=1 ITZ. C7 __r 1 P-74 g� Vs.', �����
BHCKFILLING OF ANY SYSTEM WITHOii[ FINAL INSPECTION HND f lPPROVHL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MlNIMUM DlSTHNCE BETWEEN R WELL HND HNY ON-SITE SEWAGE IS
100 FEET FOR H PRIVATE WB_L/ OR
150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS HND COHSTRUCTION DIHGRHM5 HRE
AVAILABLE TO INSURE PROPER INSTHLLHTIQH.
F"-" EE � 0-0 1 7' ��F-0 1, F? E_- �FE P1����
I CERTIFY THAT
1� I HM FHMILI�R WITH THE R�QUIREMENTS FOR QN~SITE SEWERS �ND WELLS HS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN HCC8RDHMCE WITH THE CODES�
]� I UNDER5TF�N� THHT THE W -1.1 -SITE 5EWER SYSTEM �HY REQUIRE ENLHRGEMENT IF T�E
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS.
ISSUED BY ~__.~.~_[XATE .... YI2
0 Ef E GEG i'ECHNI CAL £t DEVELJPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Soils B Foundations
SOIL LOG
Earl Ellis
688-2280
Land Development
Performed for: Name: %ZIf 9ZF-�5 -��AeF Tel. No.-�7J0-
Mailing Address: �,x 4— �7. /% e1 'E' � x� %'sel
Legal Description:
Death (feet) Soil Characteristics
0
1
2
3
6,cv
7
8
13
14
15
16
fi
Ale, tee,t�
r
Ground Water Encountered: Yes ,,� No If yes, what depth 7�
Proposed Installation: Seepage Pit Drain Field
Comments:
Performed by: Date: zz IL—'LE