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BOULDER SPRINGS LT 31
MUNICIPALITY OF ANCHORAGE 111Ci1I S On-Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 -' http://www.muni.org/onsite f Delrirtinent ANCHOR PGE On -Site Wastewater Disposal System Permit Permit Number: OSP231366 Effective Date: 10/26/2023 Work Type: SepticTank Upgrade Expiration Date: 10/25/2024 Tax Code Number: 01516180000 Site Legal Address: BOULDER SPRINGS LT 31 G:2641 Site Mailing Address: 10000 COBRA ST, Anchorage Owner: SCHUH RODNEY J & VICKI H Lot Size in Sq Ft: 37739 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal'code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. 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 L 55 USA _l n %)Z S Issued By: Gem Date: Date: /O 6 emergency Keplacement- uaylignting tants t:#t*A"0 0* 010 MUNICIPALITY OF ANCHORAGE 0-1 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 Parcel I.D. 015-161-80 Property owner(s) Rodney Schuh Mailing address 10000 Cobra Street, Anchorage, AK 99507 Site address 10000 Cobra Street Day phone Legal description (Sub'd., Block & Lot) Boulder Springs, Lot 31 Legal description (Township, Range & Section) Lot Size 37,739 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 Septic Tank Q Upgrade 0 (w/wo ADU) Duplex (D) E]Holding Tank El Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. ST'. -p (Signature of property owner or authorized agent) Permit/Rush Fees:. Z 2.5 Waiver Fees: Date of Payment: Receipt Number: Permit No. OS ,02313 66 Permit App_*-'-'- :-..:c; Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E‐mail: steve@panengak.com Mailing: P.O. Box 1807 Palmer, AK 99645 Telephone: (907) 745‐8200 FAX: (907) 745‐8201 24 October 2023 Municipality of Anchorage Development Services Department On‐Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Boulder Springs, Lot 31 Septic System Upgrade Permit Request EMERGENCY TANK REPLACEMENT This is a design narrative for a permit to install a 1,250‐gallon septic tank to replace an existing 1,250 gallon septic tank to be issued for this property. The existing tank has collapsed and created an open hole full of raw sewage, it will be abandoned per code. Currently the lot is developed. The proposed replacement will be connected to the existing drain field. This lot and the surrounding lots are served by private wells. There are currently no wells within 100’ of this upgrade. 1. Upgrade Tank Design. A foundation clean out installed if needed. The tank will be located: 5’+ from any property line. 5’+ from any deck/stair support. 10’+ from building foundation. 10’+ from any water line. 100’+ from any surface water. 100’+ from any private wells. 200’+ from any public wells. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at (907) 745‐8200. Sincerely, SRP Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231366, Deb Wockenfuss, 10/26/23 for construction Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231366, Deb Wockenfuss, 10/26/23 for construction Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231366, Deb Wockenfuss, 10/26/23 = �0 001511T.� 0 MUNICIPALITY OF ANCHORAGE rvices Department Phone: 907-343-7904 Wastewater Section Fax: 907-343-7997 R U E M11 U T?1TT*705_-,';ite Water and Wastewater SectioOn-site!Lmn.-,, to perfor wor on an on-site wastewater disposal m to serve that individual's owner- — *ccupied single-family or duplex home if the homeowner meets and agrees to the following requirem nts: 1. The p�roperty owner and excavation equipment operator may perform work on no more than ne owner -installation project in a 12 -month period, 2. Own is projected active involvement, with; the installation: 3. The r arae of the excavation equipmento erator: t per. 4. 1 agr e that there will be no monetary compensation for installation services rendered. 5. Theame of the inspecting engineer:4% 21 1 6. 1 agr e to discuss the following items with the inspecting engineer: a.j Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.070. c. Advance notice given to the On-site Water & Wastewater Section for all required municipal inspections (AMC 15.65.070A). 7. 1 afire to have the project -specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. 8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will obtain additional installation instructions and approval from the equipment distributor. As owner Df (legal description) I agree tht the information above is true and accurate. Owner's printed name:.,, Owner's signature: Date: Municipality of Anchorage Page 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: SL.o ct"-~O'~q~- PID Number: C~/.~'-- Name: ~ ~ c ~ ~ ~ Wastewater System: ~ New ~ Upgrade Address: /~ ~ ~~~ ~/~ ABSORPTION FIELD Phone: ~q~_ ~~ ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other LEGAL DESCRI PTIO N ~o, Rating: Total Depth fro~ original grade: ,;, ~, ~ GPD/Sq. Ft. ~ ~ Lot: Block: Subdiv~ion: Depth to pipe bo~om from original grade: Gravel depth beneath pipe Township: t Range: ISection: Fill added above origiDa' grade: Grav; ~engt7 /~ ~ Ft. ~ ~ Ft. WELL: D New ~ ~ Gravel width: Nu~of lines: Distance between lines: ~ Ft. / ~ ~ Ft. Classification (Private, A,B,C): ~epth: Cased To: Total absor~on area: Pipe material: ~ Driller: Date Drilled: Static Water Level: Installer: Date installed: ~ I~umpsetat: SEPARATION DISTANCES a Septic ~ Holding To Septic Absorption Lift Holding ~ublic/Private Manufacturer: ~. /~ ~~yingallons:~ From Tank Field Station Tank Sewer Lines Well [~ (~ -- /~l ~ Number of Compa~ments: su,~ce LIFT STATION Water /Oo~ / Uo~ ~ ~ ~ Lot ~ Size in gallons: ~ Manufacturer: Line ~1 ~ ~ ~ ~ I ~ ~ ~ ~ Foundation ~( ~f ~ __ ~ "Pure p on" level at~evel at: I High water alarm at: CuAain Drain .... __ ~1 J Electrical Inspections pedormed by: Remarks: ~ ~~tl~ ~c~d4~,,~ BENCH MARK Location and Description: Assumed Elevation: Inspections performed by: G .~{~~g~,t Dates: 1st [~/~/~ Department of Healg and.¢u~a;~~ces approval t'~'s'" Reviewed and approved by: ~ ~' /~ Date: ~-~-~ ~,-~r~S~tc'~'.,~.~.~.~-- 72-013 (Rev. 9/91) MOA 25 PERMIT NO, SW970848 AS-BUILT WASTEWATER ABSORPTION SYSTEM LOT 31; BOULDER SPRING SUBD, LOT 38 IS UNI]EVEL[]i~ED, ; ? ..... ~ "~ THERE ARE NO WEL.EpR SEPTIC SYSTEMS ~:ITBIN 800 FEET OF PROP'OS~]] SEPTIC SYSTEM. SEPTIC SYSTEM EASEMENT, SEE DETAIL SYSTEM ~'.5-WIDE ' .F~ 1 e 79LF G I)EEP ? ...o: ?EXISTr EXIST, 4 9R HBUSE ........ EXIST, 3' VIDE TRENCHES, SEE NOTE 1 i SEE 1, ]]IVERTER VA~I..VE BULL RUN THERE ARE ND WELLS WITHIN lO0 FEET DF THE PROPOSE9 SEPTIC SYSTEM, TIRBP I~DX .~/xw...." '""r.....'k~*. ' ~...~ FOR~ · .. / ~ Rod Schuh -.~~.~ Anchorage, AK 99516 ~lL~ ~* (907) 346-3983 P,I,D, ND, 015-16-180 NDTES~ 1) DISTRIDUTIDN SYSTEM WAS MODIFIED ON 6/81/97, A NEW PDST-TANK LINE AND DRDP- 14DX WAS INSTALLED FOR A MORE EVEN DISTRIDUTIDN DF THE EFFLUENT, A DULL- RUN DIVERTER VALVE WAS INSTALLED IN PREPARATION FOR UPGRADING THIS SYSTEM, 8> DOUBLE CLEAN-DUT~ WERE INSTALLED DN THE POST TANK :~_INE DN 6/81/97, 3) THE TANK INTEGRITY ~AS VERIFIED DURING ~YSTEM REPAIR ON 6/81/97, 4)'~ THE ~RAIN-FIEL~S WERE CLEANED BY~ ISSACS AND PUMPED DRY, 5) :.ALL WORK WAS PERFORMED ~Y~ THE OWNER, INSTALLED FLOW -~PLITTER TO DIVIDE FLOW EVENLY )~ETWEEN ]~DTH TRENCHES CD A B DC 109,8 58,4 C1 106,9 56,3 C8 68,8 53,0 M1 63,B 58,8 C3 1DB,B 65,1 C4 70,7 81.4 MP 70.5 81,4 DESIGN' Pert Rate = 87 MIm/Inch Soils= 250 sF/br 4 Bedroo~ House 1000 SF Rqd Design, 5- Wide Trench 2' EFFective, R,F,=0.7 6' Tot(il Depth, 140 LF 2 Trenches Each 70' Long, 5' Wide Total Absorption = 700 Pannone Eng, Svc,, P, 0, BOX 142025 ANCHORAGE, ALASKA 99514 278-8218, PHDNE& FAX DATE, 5-8-98 AS-BUILT SCALE, 1'=50' PERMIT ND, gW970242 AS-BUILT DETAILS WASTE~/ATER ABSORPTION SYSTEM LOT 31, 3DULl]ER gPRING P,I,I~, ND, 015-16-180 & m~ Z "~ Z l~O N~Dq3 3Ertl BO~INO~ £RO N¥393 w IRD N¥390 lno N¥390 l~O NY]gO £RO N~393 NOIiVENnO3 ])trowing C,\Work\31)~OUL)),))WO -PREPARED FOR~ Rod Schuh 10000 Strog~no? Drive Anchorage, AK 99516 (907) 346-3983 P~nnone Eng, Svc, P, 0, BOX 142025 ANCHORAGE, ALASKA 99514 278,~8818~ PHONE & FAX NOT TO SCALE I EASEMENT DETAIL WASTEWATER A3SORPTION SYSTEM Lot 3~, ])ouLder SpriD~s Subd, SEPTIC SYSTEM EASEMENT Ngo-oow 16,60' NEW SYSTEM E 5-WIDE TRENCHES, l~61LF, 1 @ 79LF e' EFF,, 6 DEEP S 09-00 E 65,50' EXIST, 3' WIDE TRENCHES, SEE NOTE 1 DROP I~OX I I ......... ..c':: ?EXISTI ' .... WELL ,~ DR HOUSE SEPTIC Ti NK, DIVERTER V~LVE ]~ULL RUN THERE ARE ND WELLS WITHIN I00 FEET OF THE PROPOSED SEPTIC SYSTEM, ,ESO 9 PREPARED FOR, Anchorage, AK 99516 (907) 346-3983 PANNDNE ENG, SVC P, O, BOX 148085 ANCHORAGE, ALASKA 99514 874-0308, 878-8818 Fax DATE, 2-2B-gB EASEMENT SCALE, 1'=50' 13:20 9~727E8383 PERPETUAL WA/tTEWATER ABSORPTION EASEMEN'-r This Easement is made by RODNEY J. $CHUH, whose address is ~ 0000 ~trc Drive, An~hora~, ~ ~16, ~rein~er ~f~ed to as "~r". This ~aement shall b~come off~tive on tho date it is r~ordcd, shMi mn with thc land and $~ll inure to end be f~ the boilofit of all ~g o~era of~o sub, eot real propo~ics. WHi/RI/AS, Ownar i~ tho ow~. of the following described mai propoRi~s: Lot~ ~i~-one (31) and ~-~o (32), of ~ BOULDER SP~G$ S~DIVISION, accordi~ to Pht NO, 72-1~, R~ords of tho ~h~ge R~d~g Di~ict, ~rd 1~ic~! District, Sta~ of Alns~; ~d WHEREAS, a portion of the waatewater absorption system for thc benefit of Lot 3! presently encroaches upcm a portion of Lot 32; and WHEREAS, Owner herein devres to provide for the perpetual utilization of the; wastewater absorption system. NOW, THBREFORE, for the reasons stated above, Owr~r de;lares as follows: An easement is hereby cfesled on Lot 31, more particularly described abcvc, to accommodate the wastewatcr absorpt/on system as set forth on the l~asement Detail attachcd hereto at~d illcorporated by tef~nce. Said easement shall remain tn full force and effect for so long as said wa~tewater absorption system is utilt~d for the b~cfit of Lot 31. STATE OF ALASKA ) )aa. TRIRD R-rDICIAL DISTRICT ) K,4~tt~/L/,?e f°reg°in~ in'Irumeat was ackn°wledged before me this /~ darer , 1998, by RODNE¥ J. S¢lqUH. ~, /9 .~,~,,w', --,v,. *:i~_ Notaty/~blic in nn~ for Alaska/ - _~ ,,~ ,,p_,]~ My coki'nission expires; __//-'/J5 ..' ·. F~DR~ELL AND AS$IDC PAGE ~EPTIC ~{IINLNG NEW E ~-V.t~E TREN~EI EASEMENT DETAIL WAgTE~/ATKR A2$~RPTZDN SYSTEH 31, iBou(der Springs 09-00 £ ..... ~50' ',, TR£NCI~S, 8EK NOTE I I I I nUN TMER~ Al~ ~ W~LL3~ ~d~THTN C,~VoeR\31],DULD,~O ....... -PREPARED FDR, Rod Schuh 10000 S~og~o? Drive A~chor~ge, AK 99~16 (907) 346-39e3 ANNDNE ENO, Svc P, 0, ]~OX ~4ao85 ANCHORAGE, ALASKA 99514 [_~74-0308, ~7~-8~1B F~N Rick Mystrom, Mayor Mtmicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us 343-4744 August 12, 1998 Rodney J Schuh 10000 Stroganof Drive Anchorage, Alaska 99516 1246 Subject: Lot 31 Boulder Springs Subdivision Permit #SW970242, PID #015-161-80 The subject permit, issued August, 6, 1997 by this office for a single family well and/or on-site wastewater system, has expired as of August 6, 1998. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. Ail inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Si~ffc~ely, pJra~;~amCr~SanS;geP~E' On-site Services enc: Copy of Permit cc: Steven R. Pannone, P.E. PAGE 1 OF 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 (UPGRADE) PERMIT PERMIT NUMBER:SW970242 DESIGN ENGINEER:STEVEN R. PANNONE OWNER NA_ME:SCHUH RODNEY J OWNER ADDRESS:10000 STROGANOF DR ANCHORAGE, ALASKA 99516 DATE ISSUED: 8/06/97 EXPIRATION DATE: 8/06/98 PARCEL ID:01516180 LEGAL DESCRIPTION: BOULDER SPRINGS LT 31 LOT SIZE: 37739 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD 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 SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED ISSUED BY: ~~ Steven R. Pannone, P.E. Consulting Engineer (907) 272-8218 P.O. Box 142025 Anchorage, Alaska, 99514 (907)272-8218 Fax July 31, 1997 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Attn: Mr. Dan Roth Subject: Lot 31 Boulder Springs Subdivision Septic Upgrade Permit Dear Mr. Roth: Per our conversation today, I am writing to reform you that the above referenced lot has received an additional four feet of fill in the location of the current test hole. This fill was added since the original test holes and water monitoring was conducted in 1984. The owner imported the material and leveled the area where the proposed system is located. The soils log conducted by me shows that the top four feet to be organics and fill material. I have adjusted the water monitoring to a depth of ten feet below the existing surface. This elevation is approximately six feet below the original ground surface. The highest water monitoring on record for this lot is eight feet below the original ground surface, or 12 feet below the current surface. It is my opinion that the proposed system will be located at least four feet above the seasonal high water table. If you have any questions about the proposed installation, please contact me at 272-8218 Sincerely, ~ne, P.E.-~ Attachments: C:\WORKX31 BOULD.002 Steven R. Pannone, P.E. Consulting Engineer (907) 272-8218 P.O. Box 142025 Anchorage, Alaska, 99514 (907)272-8218 Fax June 25, 1997 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 31 Boulder Springs Subdivision Septic Upgrade Permit Gentlemen: My finn was contacted to investigate the septic system serving this lot. The owner wished to install a second system on this lot. A single test hole was excavated on June 21, 1997. The soils report and a percolation test result is attached. Ground water was monitored for seven days. No groundwater or bedrock was encountered in the test hole. The lot is approximately 0.9 acres in size. Lot 31 slopes to the northwest at a rate of approximately 3 to 5 percent. The proposed installation will be located on the western portion of the lot. The existing field will be reused. A diverter valve will be installed between the two fields. The septic tank was verified at the time of the test It was found to be competent and will be reused. Double clean-outs were installed down stream from the tank. The proposed location is greater than 100 feet away from the existing well serving this property and 25 feet from the water service lines. The surrounding wells are located greater than 100 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. If you have any questions about the proposed installation, please contact me at 272-8218 Sincerely, Steven R. Pannone, P.E. Attachments: C:\WORKX31BOULD.001 LOT 3E IS THERE ARE NO SEPTIC SYSTEMS EO0 FEET OF SEPTIC SYSTEN, PRDPDSED ~YSTEM 2 5-VIDE TRENCHE~ 1aGILF, 1 ~ 79LF 2' EFF.0 6 DEEP EXIST, 3' VIDE TRENCHES, SEE NDTE 1 I~Rnp Il[IX DESIGN WASTEWATER ABSrlRPTIF1N SYSTEM LDT 31, BnULDER SPRING SUBD, EXIt' NDTES, 1) ]]ISTRI]~UTIDN SYSTEM WAS MDgIFIET~ DN 6/Pl/97, A NEW PDST-TANK LINE AN]] I)RDP- ]~DX WAS INSTALLE9 FDR A NDRE EVEN DISTRIBUTION DF THE EFFLUENT, A ]~ULL- RUN 9IVERTER VALVE WAS INSTALLE9 IN PREPARATIDN FDR UPGRAglNG THIS 8) 9DUttLE CLEAN-DUTS WERE ~NSTALLE9 DN THE PDST TANK L~NE DN 6/81/97, 3~\ THE TANK INTEGRITY WAS VE~RIFIE]] 9URING SYSTEN REI~AIR [IN 6/81/97, 4)~HE I)RAIN-FIEL])S WERE CLEANED BY ~SSACS AN]] PUMPEI) DRY, 5) ~LL WDRK WAS PERFDRMEI) ]~Y ~HE DVNER, / SEE 1. DIVERTER V?VE BULL RUN I THERE ARE NO VELLS VITHIN 100 FEET DF THE PRDPDSED SEPTIC SYSTEN, Dr~wln9 C,\Work\31I~DUL]~.gWG INSTALL FLDV SPLITTER TD DIVIDE FLDV EVENLY DETVEEN llDTH TRENCHES ]]ESIGN, Perc R~te = 27 MIn/Inch Soils= 250 s?/br 4 Bedroom House 1000 SF Rqd ]]esign, 5- Wide Trench 2' E~ec~lve, R,F,=O,7 6' To~c~[ ]]ep~ch, 140 LF 2 Trenches E~ch 70' Long, 5' Wide Toi;(1L Absorp'tlon = 700 PREPARE]] FDR~ Rod Shuh 10000 S~rog~no? ]]rive Anchorage, AK 99516 (907) 346-3983 P:nnone Eng, Svc, P, D, BDX 142025 ANCHDRAGE, ALASKA 99514 272-8218, PHDNE & FAX DATE, 6-85-97 [ ]]ESIGN SCALE~ 1'=50° / DESIGN DETAILS ~/ASTE~/ATER ABSORPTION SYSTEM LOT 31, BOUL]]ER SPRING SUB]], z n lno N¥390 /n0 N¥393 Ld I)~wln9 C,\Work \31BOULI].I)~/6 /nD N¥39D /nD N¥393 lno N¥39D lno N¥393 /nD N¥393 NDII¥~NnD3 PREPARED FOR, Rod Shuh 10000 S~rogmno? Drive Anchorage, AK 99516 (907) 346-3983 Pannone Eng, Svc, p, Fl, BOX 142025 ANCHORAGE, ALASKA 99514 272-8218, PHONE & FAX ~ATE, 6-25-97 I ' NOT TI] SCALEI DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORr LEGAL DESCRIPTION: ~"~ I'~(~U~~ ~(iZI~ownship, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ;OMMENTS (::h'2kA,~cc ~ 'F"tcL SLOPE WAS GROUND WATER ENCOUNTERED? ~'"~ {~ S L IF YES, AT WHAT ~ DEPTH? '------'- Deplh Io Waler Aller Monitoring? I "'~--,,"~ Dale: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE "~-~' {minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~c~ ET AND '~ ET PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOl LS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 SLOPE I -~0 ¢~ ~/bze~rov'v~ b~ o~g T ...qo m 6. I'"~oTTI..tNC., WAS GROUND WATER /t'~ I'~ f+~ ENCOUNTERED? IF YES, AT WHAT DEPTH? tof~ DATE PERFORMED: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop 20 PERCOLATION RATE TEST RUN BETWEEN C MMENT "r -ET ~ / T ~- ~(t" A '~'A '7'1 ~ ~,~ ~ PERFORMED BY: ~ M ~ ~W CERTIFIED~ minutes/inch) i~¢~T E: SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE DATE PERFORMED: ~ogD~ v t.g SITE PLAN WAS GROUND WATER ENCOUNTERED? Ye.. IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~~[~inutes/inch ) '~ -F "'~- TEST RUN .ETWEEN COMMENTS MUNICIPALITY OF ANCHORAGE 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 IPHONE LEGAL D~E~-C R'~ PT I O N LOCATIC~N A:/. /~ ~ ' / ~ " NO, OF BEDROOMS Well _ ] Absorption area. ' Dwelling ' . PERMIT NO. I DISTANCE TO: I I/'~ /~ f I l/~ ~ · ~" -- I- Z I Manufacturer ~'t I Material No. of Jo-moa ~ ~ I (5-~..~--~ ~'r~..~-- ~rtments ~ ILiq: c~apac, c,c~y,~n gallons IF HOMEMADE Inside length Width Liquid depth' I ~ ~L ~r.~ : I ~v I D STANCE TO' Iwell Dwelling PERMIT NO. 'zz I ' t I ~O_ ~ Manufacturer Material Liquid capacity in gallons O t We . ~ · Foundat on / Nearest lot lin~, PER_MIT NO. _ d ~ / DISTANCE TO: I I t~.~ ~ ~) ~,O ~'~' ~q OO ~ ~" Z No. of lines_ Length of each line Total length of~l nes Trench w dth Dista¢~l~be~ween lin~s ; ~ ~ ! . , ~/'-~. , I ~'O /' [ ~' ~) /~ ~) inches Total'--effective absc~:Dtion ar~a ~C ]- I Top ot the to dnisn_grade Material ber~eath tile~ Cl t ~"~" ' 6 ' inches ~"~ ~'O ' I Length Width Depth PERMIT NO.'- ~ I- I Type of crib ~ -- ~ ~ area u~ DISTANCE TO: Well Building foundation Nearest lot line uJ~ Iclas, ~ Depth 4 ~C ' Driller [~ ' ~,,;~t,.~, Distanc~'tljilt~ne ~: DISTANCE TO Building ,~..~nd~o~ Sewer line t l~ /'~. Septic~,~/..~ 0 /~ OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER - '" REMARKS LEGAL DEF'FIRTHENT OF I-.IEFIL'TI.~ FIND EN',/II;.:ONMEN]"FIL PI:;..'OTECTION ',:"J:',:25 L. S5, TREET., FINCHORFIGE., FIK 975C11. ;:2 F.; 4-4 ?"' 2 0 F'EF.:M l T NO ' [)F~TE I $?.,UF.:D · 8,4¢,E'148 ENG l NEEREI} DES': ! GN ~ ...: ,...l.,4,-. :: 4 I::I f f L.. I (.': Fl I"t T · RE:,[:,RESS: CONTFICT F'HONE · F;;:O I:):...];C:I.41...IH t506 H. ]:6'T'FI RNCHOF?.FI(]iE., FIK 5E;:1.**.i:i::45 I..~EGFIL E:,ESC:R I P · t....O T ''":,.~, I ZE · S .. [::E:, I ',,.'I :'S I ON ' E:OI..ILf':,E:R S';PR i NGS 5; E F: T I F~ l",l ' 2:4 '1' O H N'S; H I P ' :1. ;:2 I'.,t :i: ',7 7' ]~: 9 <'29;.'!. FT. ':iF"..: FIC:F.:E:-::".;) LOT' 1:t RFII'.,IGE' 2.:1,,.I BLOCK' I'.,h.."FI I CEF.:"F :[ F"r' THFiT: :1... I FIM FFIMILIi::II:~: HITH 'T'HE RE:QUtF;:E:MENT:S FOR ON-'::;iTE :SEHEF.:"5 8NJ." HELLL:; FIS SET FORTH .E'W THE MLIN I (': I PI::IL I TY OF' F~NCH(]F~::FIGE ,:i MOFt ::, FIND THE: :STI:"fT'E OF' RLFISKFI. 2: I t.,.l!Lt... II'.,ISTI-]I...I... THE S'T'.'.s'r'EM IN F:iCC:ORDFltqC[ HiTH FILL MOFI CODIFS FII'.,ID REGUI..FITIONS., FiND IN COI'"IFI...IFII"~CE" HITH THE DESIGN CRI'f'E]:RI:Fi OF THIS-PERMIT. ].::. I HILL FiDI.-IERE 'T'O FILL. MOFI RN[:, '.STi:ITE OF' FiLFISKFI RE.g!LIIREMEI"tTS FOR THE: 'SET BRCK DIL:;TFIt'.,ICES FROM FIN"? E';<ISTZI"~G HEI....[ .... 14FISTISI4FIT[R DTSF'OSFIL $'T'S'f'EM OR PLtBL. IC: SEHERFtGE S'T'S'FEM' ON ]"F'II~, OR FII",f"," FtD..II::IC:EN"F OR NEFIRE:'¢ LOT. IF R L. IF'"T ff, TFITION IS '- ........ , - INz, THI_I. EL. IN F~f.,I I::tREFI CCI'v'ERE[) E:~' MOFI DUIL[:,ING Ff][:,E:5. Hz,-BI.I IL] "", THEN ,':2', FIN ELECTRICFIL. F'ERMIT FtN[:, INSJ',PECTION MLI'i]T 8E 08TFIINE[:,.~ ,'2", -'- ' "~ 141LI... NOT E:E RPPRO'v'E[:, P.t I lan ELECTF.: I CBL I NSF'EC:T I ON REF'OF.':T.~ FIN[:, ,:' 7:', THE ELE:C'I'F.: I C RL 1.40Fd E:',," Ft I... I _.EI'4.::,EE ELE:CTF.: I Ii: I FIN. $ I GNE[:, FIF'F'L.. I CFINT ' I '_:q 9 U F..: [:, El'.r' [:, FI T E ' MUNICIPALITY OF ANCHORAGE 825 L Street, ~_nchorage, AK. 99501 ' 264-4720 HANDWRITTEN PERMIT Permit ~ ~OOg~_ WELL AND/OR ON-SITE SEWER PERMIT Applicant: ~ ,q~ ~ Mailing Address: Trench: Drainfield: Seepage Bed: Holding Tank: The Required Size of the Soil Absorption System Is: The length dimension is the lengtn(i~ feet) of the trench or dr~infield. The depth of ~ trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gr~vel depth is the minima depth of gravel between the outfall pipe and the bottom of the excavation(in feet). REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ GALLONS ~ermit ~pplicant has the responsibility to i~form"''this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final i~spection and approval by this department will be subject to prosecution. ~inimum distance between a well and any on-site sewage disposal system is 100 fee~ for a private well or 150 to 200 feet from a public well depending upon the type of public well. ~inimA distance from ~ private well to a private sewer line is 25 feet and to ~ co~u~ity sewer line is 75 feet. Well logs ~re required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 1 9 8~* * * I certify that: (1) I a failiar with the requirements for on-site sewers ~nd wells as set fort~ by the ~unicipality of Anchorage. (2) I will install the system i~ accordance with codes. (3) I u~derst~nd that the on-site sewer system m~y require enlargement if S igne~: the/~, es/~nc~ is that 3 bedrooms. remodeled to inclJde more Issued by: Date: SW-P/024 (1/81) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 SLOPE SITE PLAN Or.fL J~ c) fZ O S P E IF YES, AT WHAT DEPT.? [0 .(-- 4' WAS GROUND WATER AZ r~ ~-4'~ E~COUNTERED? L.OT:~ i / Gross Net Depth to Net Reading Date Time Time Water Drop G.O, d, 20 . PERCOLATION RATE ~ ¢"~-~'%~J,m i n u t es / i n c h ) 72-008 (6/79) SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 9 10 11 12 13 14 15 16 17 18 19 2O DATE PERFORMED: SITE PLAN WAS GROUND WATER S E DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN PERFORMED BY: { ~ ~A~ L~ CERTIFIED P~ Pg_ L~//I N LE.T / i ~eeCLr W'TI4 L kf (.;. I f-4 HO- H Oil COOPLIN 6 %. EXTFZO0 r~C:) ~U ~ E. t-t ~ VA PO ~ ~AO~ t o~ 30 L_.b ~I4AL. u .fl E.. -?.RLA uL.O 9.. ~Z O t.,~.xt'r G. 0.... o,,~,,, L, &\4 A L-L... C 0,,.o£~ & "'/ i~ p I:? eL, ~,.)At"" c'© f' OF '0~.,., '"' ,,,~e= rV~-.W DRILLING, Inc. P.O. Box 10-378 · 10300 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG ' ~'" '~' :*I;: Use of Well Well Owner oC ~..i~ ~, . Location (address of: Township, Range, Section, if known; or distance main road Lot, 31 Bou}der Spring Sub/. , 06 feet Size of casing. '; .Depth of Hole 65 feet Cased to 60. ~' Static water level ?,2 ft. ({i~ (below) land surface. Finish of well (check one) Screen ( ); Perforated ( XXX ). Describe screen 0,r per.f~ation, Perforated from 42'to40' ,,- 4 rows Well pumping test af/~ 6~all°ns per ~tf) (minute) for I of drawdown fix~_,~t%tic level. Date of completion April 3, 1984 Depth in feet from ground surface 0 TO. 2 2 TO. 6 open end ( hours with Give details of formations penetrated, size of material, ~nd ~ness ); ft. 6 TO. 15 Brown clay h Gravel :[5 TO. 21 Brown cl~y 21 TO. 40 Br0?m clay & Gravel 40 TO 42 Waterbearing Oravel 42 TO. 55 55 TO,, 6~ /' TO Brown clay ~- Gravel ]~droek - seeping water .TO TO .TO __,TO .TO ,TO 3 -- CONTRACTOR ~m~C~XLr~ O~ A~C~OR~S DMSEON OF ~NVIRO~AL HF~LTH (incl~e block, subdtvis~, section, Co.ship. ra~e) (a) Le[~ Necription _ lot. ~oation (~dre s or direc~io~) (c) Applicant is (check one) he~tng titu}ion ~ ; ~er/builder ~ ; Buyer ~ i Other ~ (~plain). , 'e ~' (d) Lending Institution Telephone A~ss (e) Real Estate Co. & Agent Address (f) Telephone Mail the HAA to the following address: i2on ~I."A.-' t OOO 2. Type of Residence S ingle-Family ~ Number of Bedrooms Multi-Family ~--~ Other ~ describe) 3. Water Supply Individual Well Community Public~--~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewa e Dis osal ,.'""' ~ ......... Onsite ~ Public ~-~' //. · .. C6~munity ~--~ Holding Tank ~-~ Note: If community ~11 '~,ys~em, must have written confirmation from the State Department of Environm,eq~l Conservation attesting to the legality and status. [Page 1 of 2] Engineerin$ Firm Providin$ Inspections~ Tests~ File Search~ Data and I;-~f_j~!.o~_ As certified by my .seal affixed hereto and as of the validation date shown below, verify that my investigation of. this Health Authority Approval shows that the water supply a~d/or wastewater disposal system is safe, functional a~ld adequate for the number of bedrooms and type of structure indicated herein.- I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Approved ,~ Disapproved __ Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPKOVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERROKS OK OMISSIONS IN THE PROFESSIONAL ENGINEEK'S WORK. RR4/ej/D18 [Page 2 of 2] (DEEP SEAL) 7-19-84 ae MUNICIPALITY OF ANCHORAGE (MO~) MUNICIPALITY OF ANCHCRAGE DEPT. OF HEALTH I:NVI[,'ONMEN'rAL P[~., d~C-J'lON Well Classification ~M~ Vt Well Log P~esent (Y/N) y Total Depth 6 S ' Cased to Static Water Level q ~ ' Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances f~cm Well: If A, B, c~ C, D.E.C. Approved(Y/N) Date Ccm~leted .~[~. L.._~.. [~ Yield~ ~/'~, 6 ~ Depth of G~outing...~L~ pu~p set at ~$O' Sanitary ~eal on Casing (Y/N)~/ ~/ ~ession ~nd '~l~ead (Y~) ~ To Septic/Holding Tank on Lot % .9~O ' To Nearest Edge of Absorption Field on Lot !.[ -~ ' To Neazest Public Sewem Line ~./~ Cleancut/Manhole ~4//% . . To Neazest Se~ Service Line on Lot Water Sample Collected By ~'/T}'( ; Date Wate~ Sample Test B~sults ~Aq ~ ~/~T~_'~ ; on Adjoining Lots.,. I ~/")'~' ; On Adjoining Lots To Nearest Public Se~ . Cc~ments B. ~OLDING TANK DATA Date Installed ~E~T I~Ot~q Size I,")_~'0~1~1 ~O. of Compartments ~ Standpipes (Y/N) y Ai~-~ight CaPssJ(.y/N) y. Foundation Cleanout (.~Y/~.)~.~____ Depression ove~ Tank (YfN) ~ Date Last Pumped ~4//% Pumping/Maintenance Contract on File (Y/N)~),/~ ; fo~ Holding Tank High-Water Alarm (Y/N) N/A Tempo~a~y Holding Tank Permit (Y/N)~3,/A. Separation Distances f~om Septic/Holding Tank: To Building Foundation [,..._,I~ /, To DisPOsal 'Field~.. % O ' To Stream, Pond, Lake, c~ Major D~ainage To Water-Supply Well · . % ~ (9 To P~ope~ty Line . ~O '+ To Water Main/Service Line I0/4 Corm~nts ' . . [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption St=ara Date Installed .~T. [.~. ~q Length of Field ~_~ (~) ' Gravel Bed Thickness _~" Squa=e Feet of Absorption A~ea ~-I ~) Standpipes P~esent (Y/N). Depression over Field (Y/N) ~ . Date of Last Adequacy Test Results of Last A~equacy Test Separation Distance f~cm Absc~ption Field: To Water-Supply Well ~ {~ ' . To P~operty Line .. ~ O/~ To Building Foundation ~ ~ ! To Existing or Abandoned System cn Lot.. ~3/~% ; On Adjoining LOts . 70 '~ TO Water Main/Se~viu~ Line % {9 '~ To Cutbank( if prese, nt) ~3 To Stream/Pond/Lake/c~ Majo= Drainage Course ~4/A . To Driveway, Parking A=ea, o~ Vehicle Storage A~ea ~ O/~ Type of System Design D. LIFT STATION Date Installed ~ C)~ --~ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested fo~ Elect=ical Codes(Y/N) Dimensions Manhole/Access (y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets FDA Ccm~ents ** Check Pe=mitted Bed~ocm Rating Against HAA Request I certify that I have checked, verified, o~ confc=med to all MOA HAA Gu~_d~.' .9~,ln effect on the date of..~is inspe~n. Si · .~ '~?. ..... ..' 2-15-84 APPLI(' NT FILLS OUT UPPER HAl ONLY Property Owner ..~IP~ ~ i"Y~ PIL~',/ ~"~AV'~[~).~/L.) Phone Buyer Address Zip Code Lending Institution ~ L t;~ 5~ ~ ~ ~ ~ Phone Address Zip Code Realty Co. & A~nt Phone Address Zip Code Ty~of Resi~nce ~ Single Family ~ Multiple Family No, of Bedroo~ ~ ~ Other ~ Individual ~-~ ~'~[~)~ ~ N, A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~ Community ~ ~~ ~ ~ C~~ For wells drilled prior to that date, give well depth (attach log if available), ~ Public Utility wer Disposal lndividual Individual Installed: { ~ '~ ~- Year Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time . Date Date Date Da Inspector Inspector Inspector I ~"~P~ ~'~¢ Field Notes: MUNICIPALITY OF ANCHORAGE [~r~T ENVt/. .., ¢. :I,,/-,.: ,0 ~ ; .,I AUG t '7 I982 RECEIVED ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 (3182) SHEFFIELD, GO VERNOR DEPT. OF ENVIRONMENTAL CONSERVATION SOUTHCENTRA L REGIONAL OFFICE February 15, 1983 437 E. Street SECOND FLOOR [] ANCHORAGE, ALASKA 99501 (907) 2 74-2533 P.O. BOX 515 [] KODIAK, ALASKA 99615 (907) 486-3350 P.O. BOX 1207 [] SOLDOTNA, ALASKA 99669 (907) 262-5210 [] P.O. BOX 1709 VALDEZ, ALASKA 99686 (907) 835-4698 [] P.O. BOX 1064 WASILLA, ALASKA 99687 (907) 376-5038 Municipal Department Health, Environmental Protection ATTN: Less Bucholtz 825 L. Street Anchorage, Alaska 99501 Dear Mr. Bucholtz: As per my conversation with Lynn Lindquist on 14 February 1983, the Boulder Springs Water System is not in compliance with State Drinking Water Regulation. Sincerely, MM/msm Mike Ma thews Environmental Field Officer 18-09LH DATE: TO: FROM: SUBJECT: unicipality of Anchor.age MEMORANDUM September 7, 1982 Laura Crow Environmental Health Division Request for Refund - Account #2460 Please make a~a~gements for the following refund; the property called on this date and has cancelled the paperwork and the inspections. Thank You. Jim D. Davidson Post Office Box 10-106 Anchorage, Alaska 99511 Receipt #197678 (8-17-82) Amount: $25.00 Sewer and Water Other Laura J. Ward Senior Office Assistant LJW Lot 30 Boulder Springs Subdivision attachments 91-010 (5/78)