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HomeMy WebLinkAboutLAKE HILL ACRES #6 BLK C LT 3Lake Hill Acres #6 Block C Lot 3 #051-122-55 Municipality of Anchorage Page 1 Of--L— f 2DEPARTMENT DEPARTMENTOF 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. SW990275 PID Number. 051-122-55 Name: MIKE THOMAS W/ THE THOMAS COMPANY wastewater System: ■ New ❑ Upgrade Address: P.O. BOX 770110 EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: (907) 441-2664 No. of Bedroom@: 3 o Deep Trench ■ Shallow Trench o Bed o Mound o Other LEGAL DESCRIPTION sonNA"° 1.2 DPD/. FL Total tram X4.0 5.5 Ft. Lot Block: Subdivision: Depth to *0 baanm awn a'" grade anewi depth beneath PIPs 3 C LAKE HILL ACRES 1,8-3.3 R 2.13 FL Township: Range: Section: FN added adore added grade dmd Mneth: — — — 0-0.5 Ft 57 R WELL: ■ New ❑ Upgrade a:ard width: 5.0 Number of enc 1 MOODS belwrn @ue — N, a. aaeff"sm wftft Ae,C. Told Depth:Cased Te Tatar abeorptbn dew PW nmle:fob ASTM D-3034/ PRIVATE 81' R 80.37 a, 407 sc. n F-810 SCH. 40 PVC Ddren M—W DRILLING oar*o:w.d: 9/1/99 surae wade t►wk 10 bstders BAILEY'S BACKHOE Cob Nddi.a: 8/26-2799 TNrc PLenp Sd At Cada° MO AbM amuwi. TANK 75 CPM U.K. FL 2'+ R SEPARATION DISTANCES ose"o 0Holding ■S.T.E.P. To Sapt c Tank Abeor Wn Field LNt Station Holding Tank MN/PrlraN sewer l+e. Mwedaober. ANCHORAGE TANK apody N 90110010 1250 From well 100'+ 100'+ 100'+ — 25'+ STEEL Nater Of = wmb M 2 Surface Water 100'+ 100'+ 100'+ - - LIFT STATION LotMae Une 5'+ 10'+ 5'+ - - 1250 ANCHORAGE TANK 0 ENCO PRODUCTS Foundation 5'+ 10'+ 5'+ — — OW WA at: 42" Ned an 1 4 web Cdr dao@ = 1 44" Curtain Pew Mde r Mods a.obka pulse �^ Drain NONE KNOWN 200SI05HHF Remarks: BENCH MARK IAeaao:: and Dees"= TOP OF MANHOLE Aeeered a.edNm 100.00 R, ENWNEE" BEAL Qo�Opp QF �0 Inspections performed by: AWWC, INC. Dates: 1st s/zs/ss �....... ..... 2nd 8/27/96 O 3rd 10/5/99 P ff Department of Health and Human Services approval ��� ,fe^:; —7953 Reviewed and approved byAi P&c* Date: -08 d�Doo profesy o\Fo slo� 00 �OpO�oo�o 13 . 9/91) Ma 25 O PERMIT NUMBER SW990275 : AS—BUILT DRAWING FCO 17.2 s STI 20.6 2 ST2 23.8 A MH 24.6 A MTI 46.0 7 MT2 64.9 B \ ALTERNATE SITE C^ 1�0°0 0�,�,�J� A '- NEW 1250 GALLON S.T.E.P. TANK STUDIO PARCEL ID NUMBER: 051-122-55 \ 1 FOOT LOT LINE �{ WAIVER. (#WR990053) T '\� \ NEW DRAINFIELD Mt FMtN. CRAVE - 102.0 ORIGINAL / OMC41%CRA77E FINN. CR.`UE-983 -1015-102.5 /J -103.0 f0P OF 1AKK� y1 5f2 _. AT N.Ef-9551 Fi Pi f= ( PER MAVA1100 NSW 1250 CA.I,ON (3/4"M55LM Af IN.EfI%ef - 99,9of 492 95,f.�.F. MM PIPE) - 9967 60ffOM OF fITNCH - 9759 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: LAKE HILL ACRES SUBDIVISION; LOT 3, BLOCK C TYPE OF WORK: AS—BUILT OF SEPTIC SYSTEM UPGRADE PREPARED FOR: PHONE NUMBER: ROY AND KARLA MORREIRA (907)688-1562 DATE: DRAWN BY: SCALE: PAGE: 11/2/99 J.L.M. 1 = 40' 2 OF 2 u:u,G � f" - 95.56 � VlW- OI.tII.EfS Af ODUT - 94BI G r ess. 7953 ,�OOO \1 PARCEL ID NUMBER: 051-122-55 \ 1 FOOT LOT LINE �{ WAIVER. (#WR990053) T '\� \ NEW DRAINFIELD Mt FMtN. CRAVE - 102.0 ORIGINAL / OMC41%CRA77E FINN. CR.`UE-983 -1015-102.5 /J -103.0 f0P OF 1AKK� y1 5f2 _. AT N.Ef-9551 Fi Pi f= ( PER MAVA1100 NSW 1250 CA.I,ON (3/4"M55LM Af IN.EfI%ef - 99,9of 492 95,f.�.F. MM PIPE) - 9967 60ffOM OF fITNCH - 9759 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: LAKE HILL ACRES SUBDIVISION; LOT 3, BLOCK C TYPE OF WORK: AS—BUILT OF SEPTIC SYSTEM UPGRADE PREPARED FOR: PHONE NUMBER: ROY AND KARLA MORREIRA (907)688-1562 DATE: DRAWN BY: SCALE: PAGE: 11/2/99 J.L.M. 1 = 40' 2 OF 2 u:u,G � f" - 95.56 � VlW- OI.tII.EfS Af ODUT - 94BI G r ess. 7953 ,�OOO I Lot 2 N 89058'10"E 195.41' _� Lot 7 Lot 3 40,349 s.t. 2 STORY - WOOD FRAME RESIDENCE WIGI.tL_ .. •\ Oec�� 66.8' �F.l '.: ... • � -- I � S 10' UTILITY EASEMENT �I 25' 25' I I , Lot 4 SEPTIC — CLEAN -OUTS Pop.cN r&4 PLOT PLAN _ ASBUILT - SCALE I " so' GRID NW 1562 Project No. w I n I 11500 (907) m I I Lot 3 40,349 s.t. 2 STORY - WOOD FRAME RESIDENCE WIGI.tL_ .. •\ Oec�� 66.8' �F.l '.: ... • � -- I � S 10' UTILITY EASEMENT �I 25' 25' I I , Lot 4 SEPTIC — CLEAN -OUTS Pop.cN r&4 PLOT PLAN _ ASBUILT - SCALE I " so' GRID NW 1562 Project No. 99-116 Kenneth G. Lang 11500 (907) Daryl Avenue, Anchorage, 522-6476 Phone Alaska 995015 Registered Land Surveyor (907) 522-4625 Fax OF.. '' A. � I hereby certify that I have surveyed the following described prop":........ N 71-60) �Q ' �? i Lot 6 Lot 3, Block "C". LAKE HILL ACRES SUED., (Plat o. Anchorage Recording District, Alaska, and that the Improvements situated CO thereon are within the property Tines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed promises and that there are no roadways, transmission�+� , lines or other visible easements on sold property except as Indicated hereon. ?� '• KENNETH AN Dated this the if �t Day of at Anchorage, Alaska LS -5202 . It Is the responsibility of the owner to determine the existence of any 0� pfssroNA� vile easements, covenants, or restrictions which do not appear on the recorded subdivision plot. Nov -08-99 02:13P THE THOMAS CO. INC_ 694-5202 P.01 VJ/VL/LJJJ VV.+J M•W DMUNG, Inc. 99-199 eo■ 110370 a 10330 Old Sawwd Hlphwey (807) / ANCNDAApE. ALASKALASK A ee61 t 3?6 DAILUNG LOG even owner THE THOMAS COMPANY USE of WeILDOMES_TI C Looation (address of: Township, RAnV, Section if known; or distance main LOCK C. T.Awr L BfRE MIRROR LaKE NORT1l PET -R R ��_ $irA of caring -611 --J:)epth of Kol 8e ' —feet Caged to 80.37' jovi $tette water lewd 1 0 s. (004) (below) land surface. Finish of well (check one) open end ( X }; Sereen ( ); Perforated ( ), Describe screen or perforati N/A Well pumping test a� 7�allm per (kow) (minute) for t *.ours with _ 1495 . of drawdown from static level. Date of completio 01 SEPT 1999' WELL LOG Depth in feet from :round surface give detelL of formations penetratad, size of material, color and hardness --9—TO-2— 2 10 _13 ORGANICS 13 TO 1B _CLAY: SILTY. GRAVELLY 19 To 30 _ SAND: SILTY, GRAVELLY NET 30TO_ CZAY: SILTY, STIFF 39 To 41 GRAVEL: SILTY, SANDY, 2-3.GPM 41 ro 60 CLAY: SILTY STIFF 60 TO 64 GRAVEL: CLAYEY', SILTY, 2-3 GPM .. 64 TO 69 GRAVEL: CLAX;I"y 69 Tp 90 WATER IH GR TO NW Certified 814 & 971 1— CUSTOMER Jan -15-00 01:25P THE THOMAS CO. INC 694-5202 P_02 Spm 1<J MUNICIPALITY OF ANCHORAGE (" Department of Health and Human Services On -Site Services Programnrn 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW990275 Date Issued: Aug 11, 1999 Expiration Date: Aug 10, 2000 Parcel ID: 051-122-55 Legal Description: LAKE HILL ACRES #6 BLK C LT 3 Design Engineer: 0041 AK Water & Wastewater Consulta Site Address: 022139 ANTHEM PL Owner Name: Thomas Company Lot Size: 40520 SQ. FT. Owner Address: PO Box 770110 Total Bedrooms: 3 Permit Bedrooms: 3 Eagle River, AK 99577-0000 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. Lot Line Waiver #WR990053 issued to 1 foot to northeast property line from absorption field. Received By: Date: L- I Issued By: / /G%/—�%C/J Date: • Municipality of Anchorage Department of Health and Human Services 825 " L' Street 44 Mayor rom, Rick yP.O. Box 196650 Anchorage, Alaska 99519-6650 http:/Iwww.ci.anchorage.ak.us August 11, 1999 Jeffrey Garness, PE Alaska Water and Wastewater Consultants, Inc:` 6901 Debarr Road, Suite 2B Anchorage, AK 99504 Subject: Waiver Request for Lake FEB Acres #6 Lot 31 Block C Waiver Request #WR990053 Parcel ID 4051-122-55 Permit #SW9900275 Dear Mr. Garness: Your request for a waiver of the required 10 feet horizontal separation from the on-site wastewater disposal system to property line has been approved. The approved separation distance is 1.0 foot. This waiver approval applies to the existing on-site wastewater disposal system to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, _7�cG-- G Donna C. Mears, E.I.T. 6G Civil Engineer On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#i i:p�i �S` "— PID# 051-122-55 Date Received: August 4, 1999 HA# Legal Description: Lot 3 Block C Lake HIll Acres #6 Permit Engineer: Jeff Garness PE Alaska Water & Wastewater Consultants, Inc. 6901 De Barr Road Suite 2B Anchorage, Alaska 99504 Applicant: Thomas Company Waiver Requested: Lot line waiver of 1 foot from the northeast Droperty line to the DroDosed drainfield. Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: V/ Waiver is NOT Granted: List Conditions or Reasons for above: Date: 1�5-I(";Y—) By: Rec #: 05224/7403 Amount: $ 115.00 Date Paid: Aug 4, 19999 Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 213 — Anchorage — Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers August 4, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 t(Jc 199 rnUNILIPALITY OF ANQ-IORAGc ,'VIROXIMENTAL SERVICES DIV651nn, Ref: Proposed Well Location and Septic Design for Lot 3, Block C, Lake Hill Acres S/D e(' To whom it may concern: The proposed 3 bedroom house will be served by a private septic system and a private well. Two test holes were excavated on the property. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are two soil logs which shows the soil profile, and the percolation test results. The soils in TH42 were more favorable, so we are proposing to design the proposed drainfield around a 30 foot radius of this test hole. In TH#2, the soils below the organic layers are a GW material to a depth of 5 to 5.5 feet and than transitions to a SP material to a depth of 12 feet (bottom of test hole). At 12 feet, a clay layer was encountered and visually rated to be impermeable. No groundwater was encountered during the excavation of the TH#2. A percolation test was performed between the depth of 5.5 feet to 6.0 feet which had a percolation rate of <1 minute/inch. It is our opinion that the insitu sandy soils should act as a sand filter. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/112 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 375 ft2 f Total Depth: 5.5 feet (max.- on uphill side) g. Effective Depth: 2 feet It. Width: 5 feet i. Reduction Factor: 0.70 j. Minimum Length: 55 feet long k. Effective absorption area = 393 ft2 Note: This will be a pressurized system. The distribution line is to be 1.25 inch sch. 40 PVC pipe with .25 inch diameter holes spaced every 18 inches on center. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. There is some small ponding in low areas during the spring break-up. All low areas are to be filled with soils to prevent such ponding. 4. TOPOGRAPHY: As can be seen on the attached design; the slopes runs from northeast to southwest at approximately a 2 to 5 percent and gradually decrease in the area of the proposed drainfield. In short, there are no slope concerns 5. LOT LINE WAIVER: We request that your department issue a 1 foot lot line waiver from the northeast property line to the proposed drainfield. We are unaware of any adverse effects this will have on the neighboring property. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance./I Gamess, P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, two soils log, and a 4 page construction specification letter which are all part of the design package for this septic system. I � , I 14 LOT 2, BLOCK B LAKE HILL ACRES N f iY I LOT_ 1, BLOCK C LAKE` kL ACRES /t ! \ t \ LOT 8, BLOCK 1 l STEELE ESTATES r �S I LOT 2, BLOCK C I, ! LAKE HILL ACRES 1! ; i CSE�fA, j, SYSTEM 2 OF 2) i i 1 1 I I LOT 5, BLOCK C LOT 6, BLOCK C LAKE HILL ACRES LAKE HILL ACRES I I ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 28. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 336-3246 LAKE HILL ACRES SUBDIVISION, LOT 3, BLOCK C TYPE OF WORK: SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM PREPARED FOR: PHONE NUMBER: 10• Uill Esni ROY AND KARLA MORREIRA 8/3/99 1562 J.L.M. I 1= 100' I 1 OF 2 LOT 6, BLOCK 1 STEELE ESTATES SERVED BY A PRIVATE WELL AND SEPTIC NO ENCROACHMENTS LOT 5, BLOCK 1 STEELE ESTATES 0;F 11t •P '•, a re Kri, 57 ... r 9 i'•, C 7953 sf c„✓ '••........••'' (lt t,Od T'b f. i ALTERANTE SITE LOT 3, BLOCK B LAKE HILL ACRES PROPOSED STEELE ESTATES \ WELL WELL AND SEPTIC I ) \ W / PROPOS / (SEE DE: vi Q ( _ PROPOSED 3 BEDROOM a -i HOUSE � I WI LOT 4, BLOCK B = ( LOT 4, BLOCK C LAKE HILL ACRES I-, Z II ,I LAKE HILL ACRES NO CONCERNS SYSTEM 2 OF 2) i i 1 1 I I LOT 5, BLOCK C LOT 6, BLOCK C LAKE HILL ACRES LAKE HILL ACRES I I ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 28. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 336-3246 LAKE HILL ACRES SUBDIVISION, LOT 3, BLOCK C TYPE OF WORK: SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM PREPARED FOR: PHONE NUMBER: 10• Uill Esni ROY AND KARLA MORREIRA 8/3/99 1562 J.L.M. I 1= 100' I 1 OF 2 LOT 6, BLOCK 1 STEELE ESTATES SERVED BY A PRIVATE WELL AND SEPTIC NO ENCROACHMENTS LOT 5, BLOCK 1 STEELE ESTATES 0;F 11t •P '•, a re Kri, 57 ... r 9 i'•, C 7953 sf c„✓ '••........••'' (lt t,Od T'b f. �g LOT 7, BLOCK 1 \ , STEELE ESTATES \ SERVED BY A PRIVATE WELL AND SEPTIC NO ENCROACHMENTS ) SYSTEM 2 OF 2) i i 1 1 I I LOT 5, BLOCK C LOT 6, BLOCK C LAKE HILL ACRES LAKE HILL ACRES I I ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 28. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 336-3246 LAKE HILL ACRES SUBDIVISION, LOT 3, BLOCK C TYPE OF WORK: SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM PREPARED FOR: PHONE NUMBER: 10• Uill Esni ROY AND KARLA MORREIRA 8/3/99 1562 J.L.M. I 1= 100' I 1 OF 2 LOT 6, BLOCK 1 STEELE ESTATES SERVED BY A PRIVATE WELL AND SEPTIC NO ENCROACHMENTS LOT 5, BLOCK 1 STEELE ESTATES 0;F 11t •P '•, a re Kri, 57 ... r 9 i'•, C 7953 sf c„✓ '••........••'' (lt t,Od T'b f. W Q J n PROPOSED PRESSURIZED DRAINFIELD. EXCAVATE 5.5 FEET DEEP MAXIMUM BY 5 FEET WIDE BY 55 FEET LONG. ADD 2 FEET OF CLEAN, WASHED DRAINROCK. THE DISTRIBUTION LINE IS TO BE 1.25 INCH SCH. 40 PVC WITH 1/4 INCH DIA, HOLE SPACED 18 INCHES ON CENTER.- "WELI0 p N xm= a� PROPOSED DRIVEWAY I 1 } 1 i 1 1 i t t } t Sj T ALTERNATE SITE \\\A\\ \ GFS<2 \ \ \C> 1 A � MT \ I V \ I l I oo oo m Ay \ I � \ I \\ / PROPOSED 1250 GALLON \ / S.T.E.P. TANK NOTE: THE CONTRACTOR SHALL HAVE THE EAST/NORTHEAST PROPERTY LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD SUITE 2B, ANCHORAGE, AK 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LAKE HILL ACRES SUBDIVISION; LOT 3, BLOCK C, TYPE OF WORK: DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM PREPARED FOR: PHONE NUMBER: I ROY AND KARLA MORREIRA (907)688-1562 8/3/99 1 J.L.M. 1 1= 40' 1 2 OF 2 OF A'�Krdless;' —7953 Prof esst0� o0 ALASKA WATER & WASTEWATER I SOIL LOG - PERCOLATION TESTI LEGAL DESCRIPTION: LAKE HILL ACRES SUBDIV PERFORMED FOR: ROY AND DARLA MORREIRA DATE PERFORMED: 5/26/99 DEPT _ — (feet ORGANICS 1 ua Qo"o�' Jin 6aQi. ltYoc.G J TEST HOLE #1 2 3°ao 4 ° �u GGflcoo.. 44o pGpo BGG°°pop CCa CORD n°0% tr a 4 9 e000 a SW WITH SOME SILT SOIL CLASSIFICATIONS 5/26/99 ORG ML CL OL MH CH GW GP GM GC SW SP DRY ".= r'; f 9 10 11 12 13 14 15 16 17 18 19 CL WITH SOME GRAVEL (IMPERMEABLE) SM ' OH SC DEPTH TO DATE GROUNDWATER NET TIME (MINUTES) AT 7.5 5/26/99 __SEEP DRY 5/27/99 DRY INC. II} SITE PLAN � I" = 100' li ALTERANTE SITE LLI U l \\\\\\ a_ `v d w z `Z PROPOSED SEPTIC -SYSTEM PROPOSED 3 BEDROOM HOUSE DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) PERCOLATION RATE <1 (MIN./ TEST RUN BETWEEN 2.0 FT. / COMMENTS: VISUALLY RATED SOILS TO BE IMPERMEAB AT 4. j 8 FEET BELOW GRADE. PERFORMED BY ALASKA WATER & WASTEWATER I, THIS WAS PERFORMIEDI IN ACCORDANCE WITH ALL STATE um DATE. DATE: PERC. HOLE DIA. 6 (INCHES) 2.5 FT. )M OF MONITORING TUBE IS AT CERTIFY THAT I ,T ON THIS I ALASKA WATER & WASTEWATER CONSUL SOIL LOG - PERCOLA' LEGAL DESCRIPTION: LAKE HILL ACRES SUBDIV PERFORMED FOR: ROY AND KARLA MORREIRA DATE PERFORMED: 5/26/99 DE (feat =' ORGANICS 1 TEST HOLE #2 a�°. ew-° SP.; SOIL CLASSIFICATIONS 5/26/99 DRY_ ----5/26/99 DRY uab a°bu BLACK 8/4/99 .0+y=6 UNIFORM 10a°°a° °k SAND ®a®a°ba GW ORG F'b°baba 3 °bORa°4A! GP;"7, ML 9b a3ps GW i �i ,) GM CL y.. 4 GCOL 4:? a SWMH 5 G SPCH �° . i.,. SM OH Sc a�°. ew-° SP.; 9 <�°v°�°s' c 5/26/99 DRY_ ----5/26/99 DRY uab a°bu BLACK 8/4/99 .0+y=6 UNIFORM 10a°°a° °k SAND ®a®a°ba a°®°aba°i F'b°baba °bORa°4A! 9b a3ps 12 ry ?. CL 13(IMPERMEABLE) B.0 H. 15- 16- 17- 18— DEPTH 5161718 DEPTH TO DATE GROUNDWATER NET TIME (MINUTES) DRY 5/26/99 DRY_ ----5/26/99 DRY —5/27/99 DRY 8/4/99 INC. 0 F y VA. Gayness. Q E-7953 ;'\c%QQ SITE PLAN I I" = 100' �JERANTE SITE Ld \ w \ j� i DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 19 PERCOLATION RATE <1 (MIN./INCH) 20 TEST RUN BETWEEN 5.5 FT. AND J_')f COMMENTS: VISUALLY RATED SOILS TO BE IMPERMEABLE Aff 12 C BELOW GRADE. GW MATERIAL WAS VISUALLY RATED <1 NUTE 1 /I / OIL: PERFORMED BY ALASKA WATER & WASTEWATER I,t_ / THIS WAS PERFORM D IN ACCORDANCE WITH ALL STAT PN�JMUNICIPAV DATE. DATE: PERC. HOLE DIA. 6 (INCHES) I CERTIFY THAT I GUIDELINES IN EFFECT ON THIS THE REQUIRED SIZE OF TH[ SoIL HBSDRPTTON SYSTEM IS: f 71 1110 - F It -U= 11.141 ������� ;142 13 FQ 1 A 41 *1 n �to, ���� "S' THE LENGTM DIMENSION IS THE LENGTH (IN FEET) (]F THE TREAH OR DRHINFIELD. THE DEPTH OF 8 TRGNCH OR PIT IS THE DISTANCE BETWEEN THE SURFRCE to: THE GR0;ND HND THE BOTTOM OF: THE EXCAVATION (IN FEET) THERE IS NO SET HIDTH FOR TRENCHES. THE GR8YEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE HND THE BOTTOM OF THE EXCAVATION (IN FEET! ���11 ... A 1 53���1 C.': -T- 901 p"j p< 10 1 :&E:= :1.1105 41 CA F4 L, P_��4:�. PERMIT APPLICANT HAS THE RESP0NSIGILITY TO INFORM THIS DEPHRTMENT DURING TldE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO TMIs PRDPERTY FIND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. 13,111" < Q 5. X P4 0? F"4 Ey: 10 X 1: 11) p"l 20, FA to ET TO ET Go k 3 x Fy UK a BHCKFILLING OF ANY SYSTEM NITHOUT FINAL INSPECTION AND HFPROYRL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL HND HNY DN`SITH SEA8GE DISPOSAL SYSTEM Q -- 100 S100 FEET FDR H PRIYHTE WELL; OR i50 TO 200 FEE] FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF FUR WELL WELL LOG!�:; ARE RR�8ylRED HND MUST BE RETURNED TO THE DEP9RTMEN7 WITH!N 710 DHYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIHGRHMS HRE H;HILH2LE TO INSURE PROPER INSTRLLHTlOH l:l� F:�' T Q F K 03 mun3ummum vom so 71� l CERTIFY THHT k I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEAIERS RND WELLS RS SET FORTH BY THE MUNlCIPHLITY OF HNCHQRHGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 7: I SYSTEM MAY REQUIRE ENt IF THE RESIDENCE E THHN 1 BEDRQOM�. -- / .«/ �7-7~----------- HPPLITJ9�T l3H/�BRTTOES�/ f��j'*__::: a A C_:0���� ^ DEPHRTNENT O EHLTH HND EN;IRONME@THL ECTT Om/ STREET, RM.ORHGE/ H, , 264-4720 u -~-- 0_11 151 L__ IL_ NO. CA 0; --IS.: � y -U - FT 144 Q t`UET I& FnEvaml[ -IF PE�MIT NO. ( 780656 ) , THE REQUIRED SIZE OF TH[ SoIL HBSDRPTTON SYSTEM IS: f 71 1110 - F It -U= 11.141 ������� ;142 13 FQ 1 A 41 *1 n �to, ���� "S' THE LENGTM DIMENSION IS THE LENGTH (IN FEET) (]F THE TREAH OR DRHINFIELD. THE DEPTH OF 8 TRGNCH OR PIT IS THE DISTANCE BETWEEN THE SURFRCE to: THE GR0;ND HND THE BOTTOM OF: THE EXCAVATION (IN FEET) THERE IS NO SET HIDTH FOR TRENCHES. THE GR8YEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE HND THE BOTTOM OF THE EXCAVATION (IN FEET! ���11 ... A 1 53���1 C.': -T- 901 p"j p< 10 1 :&E:= :1.1105 41 CA F4 L, P_��4:�. PERMIT APPLICANT HAS THE RESP0NSIGILITY TO INFORM THIS DEPHRTMENT DURING TldE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO TMIs PRDPERTY FIND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. 13,111" < Q 5. X P4 0? F"4 Ey: 10 X 1: 11) p"l 20, FA to ET TO ET Go k 3 x Fy UK a BHCKFILLING OF ANY SYSTEM NITHOUT FINAL INSPECTION AND HFPROYRL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL HND HNY DN`SITH SEA8GE DISPOSAL SYSTEM Q -- 100 S100 FEET FDR H PRIYHTE WELL; OR i50 TO 200 FEE] FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF FUR WELL WELL LOG!�:; ARE RR�8ylRED HND MUST BE RETURNED TO THE DEP9RTMEN7 WITH!N 710 DHYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIHGRHMS HRE H;HILH2LE TO INSURE PROPER INSTRLLHTlOH l:l� F:�' T Q F K 03 mun3ummum vom so 71� l CERTIFY THHT k I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEAIERS RND WELLS RS SET FORTH BY THE MUNlCIPHLITY OF HNCHQRHGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 7: I SYSTEM MAY REQUIRE ENt IF THE RESIDENCE E THHN 1 BEDRQOM�. -- / .«/ �7-7~----------- HPPLITJ9�T l3H/�BRTTOES�/ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6.650, Anchorage, Alaska 99502 276-2221 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Barry Bridges 14x SOILS LOG ❑ PERCOLATION TEST DATE PERFORMED: -// t6/78 LEGAL DESCRIPTION: 11 3 Blk C lake ]sill Acres #6 I — SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Lot is well PERFORMED BY: 72-008 (7/76) les 'AS GROUND WATER NO NCOUNTERED? YES, AT WHAT EPTH? o)=4 ._ L/. - Reading Date Gross Time Net Time Depth to Water Net Drop RCOLATION RATE TEST RUN BETWEEN FT AND e and is coverd with medium to la CERTIFIED BY: (minutes/inch) — FT trees. mm C Log represents Location of Test Hole Lot 3 Block Lake Hill Acres Subdivision T. H.I M. ORGANICS SILT, SOME SAND (IML) r SAND, SOME SILT (SP- SAY) .`'.j 200' SAND W/TRACE SILT (SP) j SANDY GRAVEL TRACE SILT SOME COBBLES (GW) Ong .a b. D -d p 17.0' -1 W.D. d.r7' 0.0' 1.0' 2.5' 6.0' 10.0' U`NN: [VV4V{e � C=31� p�� � r� A ^ i s' R&M CONSULTANTS,INC. Dan Livermore Log of Test Hole Anchorage, Alaska F.S. CKU: WED 'RIO: DATE: 4-6-76 PROJ.NO. C)S6 211 SCALE: DWG.NO. A-Ol i fury 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 DWELLINlI�G� Parcel l.D.# 051-122-55 HAA# Hr -I9 rn DS7D 1. GENERAL INFORMATION Complete legal description Lot 3; Block C; Lake Hill Acres Subdivision Location (site address or directions) 22139 Anthem Place iak, AK Property owner Thomas Company Day phone 441-2664 Mailing address P.O. Box 770110 Eagle River, AK 99577 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025)Rev.1/91) Front MOA021 5. 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 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 compl' nce with all Municipal and State codes, ordinances, and regulations in effect oAinspection. Name of Firm Wastewalof C /t is, km Phone 337-6179 -e .. Wastewater Consultants Inc. Shall be PAID $ or prior to, closing for then`#s^ Engineering Services Provided..T� 6. DHHS SIGNATURE X Approved for 3 bedrooms. Disapproved. Conditional approval for Additional Comments 0 bedrooms, with the following stipulations: Date/2- —/ — 2f The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M (flee, M1) Back MOA K l . Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division A§ 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: i AKF Hu i AIRF¢ S/n• I DT i 6 0 K r Parcel I.D.: 051-122-55 A. WELL DATA Well type pRINAT€ If A, B, or C, attach ADEC letter. ADEC water system number _may/A Log present (Y/N) YES Date completed q/t /qq Total depth Rt' Cased to SO 37' Casing height (above ground) 2'+ Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES FROM WELL LOG AT INSPECTION Date of test q/I/99 Static water level 10' NEN Well production 75 g.p.m, 9.p -m. WATER SAMPLE RESULTS: Coliform O Nitrate /. ¢ / mg iL Other bacteria O Date of sample: _// -24-1,7 Collected by: A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA Date installed 8/2s-77/gg Tank size 1950 Number of Compartments 9 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) YES Date of Pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 8/96-97/99 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 System type SHALLOW TRENCH Length 57' Width 5' Gravel thickness below pipe 2.13' Total depth 4.5'-5.5' Effective absorption area 407 So.FT. Monitoring Tube present (Y/N)YES Depression over field (Y/N) NO Date of adequacy test NEW Results (Pass/Fail) - For 3 bedrooms Fluid depth in absorption field before test (in.); - Immediately after= gal. water added (in.): Fluid depth _ (ins) Minutes later: _ Absorption rate = - g.p,d, Peroxide treatment (past 12 months) (Y/N) - If yes, give date - 72-026 (Rev. 3/96)' D. LIFT STATION Date installed 8/26-27/99 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at" 42" "Pump off" level at' 42" High water alarm level at' 46" `Datum BOTTOM OF TANK Cycles tested NEW E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 100'+ On adjacent lots Absorption field on lot 100'+ On adjacent lots Public sewer main N/A Public sewer manhole/cleanout Sewer /septic service line 25'+ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: 100'+ 100'+ N/A 100'= Foundation 5'+ Property line 50+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *1' Building foundation to' Water main/service line Surface water 1 nn'+ Driveway, parking/vehicle storage area Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. ENGINEER'S CERTIFICATION fA *SEE WAIVER #WR990053 _-- 1 certify that lve c in conforman a with Signature �� Engineer's Name Date It // G inspections and review of Municipal rs in effect on this date. HAA Fee $ C Waiver Fee $ Date of Payment — jC qq Date of Payment Receipt Number J � �� ( Receipt Number 72-026 (Rev. 3/96)' 10'+ 10'+ are