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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: `:; F^ Septic System&u� Pp Date j(� ap�v A roved&yX Note: this approval does not include well permit requirements.�'�`� (Rev 05/02/18) U') C-) 0__ c>0 > 0 'T CD Z- K > m (f) M -p z 0 c m Ln < Ln m z>A T — > > 0 cf) 0 0 X > o U) 0 C) ro0om0 Z:l Ln > i z m 0 Lo U) m C) 0 z r'l m mD U) Cn Lo —40 0 > * z r- r7l 0 En ;Q ---1 - moLo Kai -, m m 0 >CL 22 — --- I m U) it 11 z 0 MIRROR-> KE— 2m D-rive 23 m L m > 75 0 m / (n(r+ Z T) CC) 0 ( mmm / 0 ZA Z > 0 0 < < m 0 0 r- ol r 0 M M > o M m n 0-9 0 --j 0 Lo --i 0 Ul m 0 C/) 0 0 --1 > m X (A --o 0 k Z m m n0 Z ;1 > >z Z > m oir vw r cli (A (A -pl L., -P, --j p Co -4 O) D10 NOTES: 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 .... .. . ...... 8149 CE Z& l' = 50* P.I.D. NO DRAWN JRL SITE PLAN NO. OSP181437 SHEET CHUGIAK, AK 99567 2 OF 2 Q t N05'004 -P4.011 E 100-36 A51 a q Ir j BO -, 1 O u Cp f] ��• 1' 28,4 Y n 0 O;R 4 ! u � bAgm a r V ' O O % O M g Et� o J � r a03O i.i p t, ICF) p '46 I+�c,noA� r 28.4 A J:5 c O z .Opv� o SHE 4�J�� a�F N 10, 100.00 �- W a �..�•-�.-.._._, tai o 0- R- C'10 co , •—= -= K� � hot- CIL) CQ 0 LL �t ACI Z A co —� • 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 J W -Scale ' go' 0 \� /YL �. ca 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 �. 5�rio, r C�/IGK�L) /N Lc�� 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